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AGREEMENT INFORMATION AGREEMENT NUMBER 25970 NAME/TYPE OF AGREEMENT PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY DESCRIPTION INTERLOCAL AGREEMENT/MEDICAL DIRECTOR/CHIEF MEDICAL OFFICER/FILE ID: 18628/R-26-0002/MATTER ID: 25- 1038 EFFECTIVE DATE January 8, 2026 ATTESTED BY TODD B. HANNON ATTESTED DATE 2/12/2026 DATE RECEIVED FROM ISSUING DEPT. 2/13/2026 NOTE DOCUSIGN AGREEMENT BY EMAIL CITY OF MIAMI DOCUMENT ROUTING FORM ORIGINATING DEPARTMENT: Department of Procurement DEPT. CONTACT PERSON: Aimee Gandarilla/Eduardo Falcon EXT. 1906/1901 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Public Health Trust of Miami -Dade County IS THIS AGREEMENT TO BE EXPEDITED/RUSH: TOTAL CONTRACT AMOUNT: $ TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ❑ GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT OTHER: (PLEASE SPECIFY) ■ FUNDING INVOLVED? YES YES ❑ PUBLIC WORKS AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT El SUPPLEMENTAL AGREEMENT NO NO PURPOSE OF ITEM (DETAILED SUMMARY): Interlocal Agreement for Medical Direction Services for Dept. of Fire -Rescue with Public Health Trust of Miami -Dade County. COMMISSION APPROVAL DATE: 1/8/2026 FILE ID: 18628 ENACTMENT NO.: 26-0002_ IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: ROUTING INFORMATION Date PLEASE PRINT AND SIGN APPROVAL BY DIRECTOR/CHIEF PROCUREMENT OFFICER February 1, 2026 Annie Perez, CPPO 111:32:41 EST f---'9^e°°v SIGNATURE: �^^�°-'.--.1 �assanr¢:acerora SUBMITTED TO RISK MANAGEMENT February 1, 2026 David Ruiz 11:46:10 EST ,_ .,„,,„,„,, SIGNATURE: 1'c,db �«raso vr,aQo SUBMITTED TO CITY ATTORNEY matter 25-1038 Matter ID: 25-1038 a Fil4.1 February 9, 2026 George K. Wysong III 111:51:21 EST ,—.o=...—, SIGNATURE: t-61, c. Risow) III APPROVAL BY ASSISTANT CITY MANAGER/CHIEF FINANCIAL OFFICER February 10, 2026 ET.7 PEaschal Darling, CPA ISIQrica 6 Af UR T (—;,:: igneeoY APPROVAL BY ASSISTANT CITY MANAGER/CHIEF OF OPERATIONS Barbara Hernandez, MPA SIGNATURE: APPROVAL BY ASSISTANT CITY MANAGER/CHIEF OF INFRASTRUCTURE Asael Marrero SIGNATURE: APPROVAL BY DEPUTY CITY MANAGER February 10, 2026 Natasha Colebrook -Williams 12p 1 ede T� �= s,9 v, �t,NA UI a cz.tzaek-w•a;,.,.., RECEIVED BY CITY MANAGER February 11, 202E 13Alr9ggeMS �s,9eo ey. SIGNATURE: SUBMITTED TO THE CITY CLERK February 12, 202E Todd Hannon 119:14:51 EST f—........°, SIGNATURE: c --- ._o, or PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER City of Miami Office of the City Attorney Legal Services Request To: Office of the City Attorney From: Eduardo Falcon Contact Person Procurement Contracting Manager Title 1/23/2026 Date: Procurement Requesting Client (305) 416-1901 Telephone Legal Service Requested: Matter 25-1038: Interlocal Agreement for Medical Direction Services for Dept. of Fire -Rescue with Public Health Trust of Miami -Dade County. Complete form and forward to the Office of the City Attorney or e-mail to Legal Services. Do not assume that the Office of the City Attorney knows the background of the question and/or issue, such as opinions on the same or similar issues, the existence of relevant memos, correspondence, etc. Please attach to this form and/or e-mail all pertinent information relating to the subject. Once your request has been assigned, an e-mail will be sent to you with the Assigned Attorney's name and the issued matter identification number. All attorneys in the Office of the City Attorney shall fully comply with the Rules Regulating the Florida Bar. For Legal Services requesting an opinion from the Office of the City Attorney: nlssue opinion in writing. Publish opinion after issuance. Authorized by: Annie Perez Date response requested by: BELOW PORTION TO BE COMPLETED BY THE OFFICE OF THE CITY ATTORNEY Assigned Attorney: Date: File No. Approved by: Ultimate Client: Comments: D / R Date: Copy returned to Requesting Client Type: Matrix: Category: Copy to Ultimate Client rev. 04/14/2017 AGREEMENT/AMENDMENT OVERVIEW AGREEMENT TITLE: Interlocal Agreement for Direction Services for Department of Fire - Rescue 1. AWARD DELEGATED AUTHORITY: ❑ Chief Procurement Officer — Authority level of $ ❑ City Manager — Authority level of $ 0 City Commission — RESOLUTION No. 26-0002 2. PROCUREMENT METHOD: ❑ RFP/RFQ ❑ IFB ❑ ITB ❑ SOLE SOURCE ❑ PIGGY -BACK ❑ COOPERATIVE ❑ PROFESSIONAL SERVICES UNDER $25,000 3. TYPE OF AGREEMENT: ❑ PROFESSIONAL SERVICES AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ SOFTWARE AS A SERVICE AGREEMENT ❑ LEASE AGREEMENT ❑ OPERATOR AGREEMENT ❑ CONCESSION AGREEMENT ® OTHER (Please explain): Interlocal Agreement 4. IF THIS IS AN AMENDMENT, WHAT IS THE NUMBER OF THE AMENDMENT AND WHAT DOES THIS AMENDMENT DO (INCREASE CAPACITY, CHANGE IN TERMS, ETC) BE SPECIFIC AND INCLUDE THE PAGE NUMBER(S) THAT SPECIFIES WHAT IS BEING AMENDED ON THE CONTRACT. 5. WAS THE AMENDMENT APPROVED BY THE CITY COMMISSION? ❑ YES ❑ NO IF YES, WHAT IS THE RESOLUTION NUMBER? 6. WHAT IS THE SCOPE OF SERVICES? Provision of medical direction services to supervise and provide medical oversight for the medical performance of the City's Paramedics and Emergency Medical Technicians ("EMT's"), as required by Florida State Statute 401.265 as amended for the Department of Fire -Rescue. 7. IF CITYWIDE, WHAT ARE THE MOST FREQUENT USER DEPARTMENTS? Fire -Rescue 8. IS THE AWARDEE INCUMBENT? Yes Updated 1/29/2025 9. IS THE PRICING HIGHER, LOWER OR THE SAME AS THE CURRENT CONTRACT? The monthly payments increased from $24,631.67 to $28,393.09 10. WHEN DOES THE CURRENT CONTRACT EXPIRE? 02/08/2026 11.WHAT WAS THE PREVIOUS SPEND ON THE CURRENT CONTRACT? $1,637,152.64 12.WHAT IS THE METHOD OF AWARD (Group, Item by Item etc.)? Interlocal Agreement Updated 1/29/2025 Clear Form CITY OF MIAMI Vendor Responsibility Checklist View All Attachments Name of Firm: Public Health Trust of Miami Dade County, Florida dba Jackson Health System Use the "Upload" button to attach PDF documentation for each section. To delete attachment(s), use the appropriate "Delete" button to the right and then use the "Clear" button for the corresponding attachment box to clear that field. CATEGORY City Vendor Registration Affirmation YES State of Florida Corporation (Sunbiz) NO D&B Pacer Bid/Proposal Bond YES NO N/A I Upload Clear _ Upload Clear Upload w Clear Upload Clear RESPONSE Delete Last Delete All iSupplier Number: 310 Your DUNS Lookup Request for The Public Health Trust of Miami -Dade Use the "Upload" button to attach PDF documentation for each section. To delete attachment(s), use the appropriate "Delete" button to the right and then use the "Clear" button for the corresponding attachment section to clear that field. PERFORMANCE/REFERENCE CHECKS System of Award Managment (SAM) YES Convicted Vendor List NO Debarred Contractors NO Suspended Contractors NO Suspended Vendors -State: NO Scrutinized Companies List: NO Google Search: YES Upload Delete Last Delete All ATTACHMENTS Clear Upload Clear Upload Clear Upload Clear mg Upload Clear Upload Clear Upload Clear 1M.pdf Bonvicted Vendor List _ Vendor Registra...pdf ntractor-debarment. pdf Suspended Vendor List _ Vendor Registra...pdf 1025_06_10_web_u pdate_pfia_proh i bited_list.pdf Anthony placeses public health trust - Google Search.pdf yirah ochoa public health trust - Google Search.pdf Yuliet Camber public health trust - Google Search.pdf STATE BOARD OF ADMINISTRATION OF FLORIDA 1801 HERMITAGE BOULEVARD, SUITE 100 TALLAHASSEE, FLORIDA 32308 (850) 4884406 POST OFFICE BOX 13300 32317-3300 Protecting Florida's Investments Act "Scrutinized Companies" Chapter 287.135, Florida Statutes RON DESANTIS GOVERNOR CHAIR JIMMY PATRONIS CHIEF FINANCIAL OFFICER JAMES UTHMEIER ATTORNEY GENERAL CHRIS SPENCER EXECUTIVE DIRECTOR Chapter 287.135, Florida Statutes was created effective July 1, 2011, and prohibits a company on the Scrutinized Companies with Activities in Sudan List or on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List from bidding on, submitting a proposal for, or entering into or renewing a contract with an agency or local governmental entity for goods or services of $1 million or more. Pursuant to Chapter 215.473, Florida Statutes, the Florida State Board of Administration is charged with maintaining a complete list of scrutinized companies. Scrutinized companies are judged according to whether they meet the following criteria: Sudan: 1. Have a material business relationship with the government of Sudan or a government -created project involving oil related, mineral extraction, or power generation activities, or 2. Have a material business relationship involving the supply of military equipment, or 3. Impart minimal benefit to disadvantaged citizens that are typically located in the geographic periphery of Sudan, or 4. Have been complicit in the genocidal campaign in Darfur. Iran: 1. Have a material business relationship with the government of Iran or a government -created project involving oil related or mineral extraction activities, or 2. Have made material investments with the effect of significantly enhancing Iran`s petroleum sector. The SBA is not responsible for compliance with Chapter 287.135, Florida Statutes. The SBA's responsibilities are solely focused on the Protecting Florida's Investments Act and Chapter 215.473 as it relates to the identification of "Scrutinized Companies" that have prohibited business operations in Sudan or Iran. The table on the following pages provides the List of Prohibited Investments (Scrutinized Companies). This list is updated as part of the Protecting Florida's Investments Act (PFIA) and the Global Governance Mandates Quarterly Report, upon review and approval by the Trustees of the State Board of Administration. June 10, 2025 Page 2 Table 7: List of Prohibited Investments (Scrutinized Companies) (New companies are highlighted and in bold.) Prohibited Investments (Scrutinized Companies) Scrutinized Country Country of Incorporation Initial Appearance on Scrutinized List Full Divestment Aviation Industry Corporation of China (AVIC) Sudan China September 24, 2019 Yes AviChina Industry & Technology Sudan China June 4, 2019 Yes AVIC International Finance Ltd Sudan China September 24, 2019 Yes AVIC International Holdings Ltd (formerly listed as AVIC International) Sudan China June 4, 2019 Yes Bank of Kunlun Co Ltd Sudan & Iran China March 7, 2018 Yes Chennai Petroleum Corp Ltd Sudan India September 19, 2007 Yes China BlueChemical Ltd Iran China March 19, 2013 Yes China National Petroleum Corporation (CNPC) Sudan & Iran China December 11, 2012 Yes China Oilfield Services Ltd Iran China June 16, 2011 Yes China Petrochemical Corporation (Sinopec Group) Sudan & Iran China December 3, 2019 Yes China Petroleum & Chemical Corp (CPCC) Sinopec Sudan & Iran China September 19, 2007 Yes China Petroleum Engineering Corp Sudan & Iran China March 7, 2018 Yes China Railway Group Limited Iran China September 24, 2024 Yes Cirrus Aircraft Ltd Sudan Cayman Islands September 24, 2024 Yes CNOOC Ltd Iran China June 16, 2011 Yes CNOOC Energy Technology & Services Ltd Iran China June 15, 2021 Yes CNOOC Finance Limited Iran China September 24, 2013 Yes CNOOC Finance (2003) Limited Iran China December 17, 2024 Yes CNOOC Finance (2011) Limited Iran China December 17, 2024 Yes CNOOC Finance (2012) Limited Iran China December 17, 2024 Yes CNOOC Finance (2013) Limited Iran China December 17, 2024 Yes CNOOC Finance (2014) ULC Iran China October 17, 2017 Yes CNOOC Finance (2015) Australia PTY Ltd Iran China December 17, 2024 Yes CNOOC Finance (2015) USA LLC Iran China December 17, 2024 Yes CNPC Capital Company Limited Sudan & Iran China June 14, 2017 Yes June 10, 2025 Page 3 Prohibited Investments (Scrutinized Companies) Scrutinized Country Country of Incorporation Initial Appearance on Scrutinized List Full Divestment CNPC Finance HK Ltd Sudan & Iran China March 26, 2024 Yes CNPC General Capital Ltd Sudan & Iran China June 26, 2012 Yes CNPC Global Capital Limited Sudan & Iran China December 15, 2020 Yes CNPC HK Overseas Capital Ltd Sudan & Iran China June 16, 2011 Yes COSL Finance (BVI) Limited Iran China September 24, 2013 Yes COSL Singapore Capital Ltd Iran Singapore December 4, 2018 Yes Daqing Huake Group Co Ltd Sudan China March 25, 2008 Yes Egypt Kuwait Holding Co. SAE Sudan Kuwait January 13, 2009 Yes Engineers India Limited Iran India September 24, 2024 Yes FACC AG Sudan Austria June 4, 2019 Yes Gazprom Iran Russia September 19, 2007 Yes Gazprom Neft Iran Russia September 16, 2008 Yes Gazprom Promgaz Iran Russia June 4, 2019 Yes GPN Capital SA Iran Luxembourg June 4, 2019 Yes Harbin Electric Co. Ltd. Sudan China September 19, 2007 Yes Hindustan Petroleum Corporation Ltd Sudan & Iran India June 13, 2018 Yes Indian Oil Corp Ltd (IOCL) Sudan & Iran India September 19, 2007 Yes IndOil Global BV Sudan & Iran India September 24, 2024 Yes Jiangxi Hongdu Aviation Sudan China September 19, 2007 Yes Kimanis Power Sdn Bhd Sudan Malaysia September 24, 2024 Yes KLCC Property Holdings Bhd Sudan Malaysia April 14, 2009 Yes Kunlun Energy Company Ltd. Sudan & Iran Hong Kong September 19, 2007 Yes Lanka IOC Ltd Sudan India September 19, 2007 Yes Managem SA Sudan Morocco November 9, 2010 Yes Mangalore Refinery & Petrochemicals Ltd Sudan & Iran India September 19, 2007 Yes Malaysia Marine & Heavy Engineering Holdings Bhd Sudan Malaysia March 18, 2014 Yes June 10, 2025 Page 4 Prohibited Investments (Scrutinized Companies) Scrutinized Country Country of Incorporation Initial Appearance on Scrutinized List Full Divestment MISC Bhd Sudan Malaysia September 19, 2007 Yes Moscow Integrated Power Co PJSC Iran Russia September 24, 2024 Yes Mosenergo Iran Russia September 16, 2008 Yes Norinco International Cooperation Ltd Iran China September 24, 2024 Yes Offshore Oil Engineering Co Iran China December 17, 2024 Yes OGK-2 PJSC Iran Russia September 24, 2024 Yes Oil India Ltd Sudan India September 18, 2012 Yes Oil & Natural Gas Corp (ONGC) Sudan & Iran India September 19, 2007 Yes ONGC Videsh Limited (OVL) Sudan & Iran India March 18, 2014 Yes Pengerang LNG Two Sdn Bhd Sudan Malaysia September 24, 2024 Yes Perseus Mining Ltd Sudan Australia August 23, 2022 Yes PetroChina Sudan & Iran China September 19, 2007 Yes Petroliam Nasional (Petronas) Sudan Malaysia September 19, 2007 Yes Petronas Capital Limited Sudan Malaysia September 19, 2007 Yes Petronas Chemicals Group Bhd Sudan Malaysia June 16, 2011 Yes Petronas Chemicals Derivatives Sdn Bhd Sudan Malaysia September 24, 2024 Yes Petronas Chemicals Glycols Sdn Bhd Sudan Malaysia September 24, 2024 Yes Petronas Chemicals Olefins Sdn Bhd Sudan Malaysia September 24, 2024 Yes Petronas Dagangan Bhd Sudan Malaysia September 19, 2007 Yes Petronas Gas Berhad Sudan Malaysia September 19, 2007 Yes Petronas Global Sukuk Sudan Malaysia August 2, 2016 Yes PowerChina Construction Group Ltd Iran China March 5, 2025 Yes PowerChina Hebei Engineering Corp Ltd Iran China March 5, 2025 Yes PowerChina Sepcol Electric Power Construction Iran China June 10, 2025 i Yes i Power Construction Corporation of China Ltd Iran China September 24, 2024 Yes Putrajaya Management Sdn Bhd Sudan Malaysia March 18, 2014 Yes June 10, 2025 Page 5 Prohibited Investments (Scrutinized Companies) Scrutinized Country Country of Incorporation Initial Appearance on Scrutinized List Full Divestment Sberbank Russia PJSC Iran Russia September 24, 2024 Prior to 9/23/2025 Sinopec Capital 2013 Ltd Sudan & Iran China September 24, 2013 Yes Sinopec Century Bright Capital Investment Ltd Sudan & Iran China December 3, 2019 Yes Sinopec Engineering Group Co Ltd Sudan & Iran China March 18, 2014 Yes Sinopec Group Overseas Development 2018 Ltd Sudan & Iran China December 15, 2020 Yes Sinopec Group Overseas Development 2017 Ltd Sudan & Iran China September 11, 2019 Yes Sinopec Group Overseas Development 2016 Ltd Sudan & Iran China August 2, 2016 Yes Sinopec Group Overseas Development 2015 Ltd Sudan & Iran China December 15, 2020 Yes Sinopec Group Overseas Development 2013 Ltd Sudan & Iran China March 18, 2014 Yes Sinopec Kantons Holdings Ltd Sudan & Iran Bermuda September 19, 2007 Yes Sinopec Oilfield Equipment Corporation Sudan & Iran China April 14, 2009 Yes Sinopec Oilfield Service Corp Sudan & Iran China March 25, 2008 Yes Sinopec Shanghai Petrochemical Sudan & Iran China September 19, 2007 Yes Societe Metallurgique D'imiter Sudan Morocco November 9, 2010 Yes Soar Wind Ltd Sudan China March 5, 2025 Yes Territorial Generating Company No 1 Iran Russia June 4, 2019 Yes # of Prohibited Investments 93 - - The following companies were removed from the PFIA Prohibited Investments List this quarter. Removed Company Country of Incorporation No companies removed this quarter. X `., Q Al Mode All News Images Short videos Videos Forums More Tools Did you mean: Anthony place public health trust Illti Jackson Health System https://jacksonhealth.org > administrative > public -health... Public Health Trust Board of Trustees - Miami The Public Health Trust, created in 1973, is composed of volunteer citizens who set policies that assure that Jackson Health System is responsive to community ... Missing: placcscs I Show results with: placeses • • • • • • People also ask Who is the CEO of Jackson Health System? Is Jackson Memorial Hospital government owned? v Feedback Linkedln • Anthony Placeres, CPA 1.1 K+ followers Anthony Placeres, CPA - Jackson Health System Miami, Florida, United States • Jackson Health System Controller at Jackson Health System. Certified Public Accountant. MACC, Florida... • Experience: Jackson Health System • Education: Florida International ... s cloudfront.net https://d3n9y02raazwpg.cloudfront.net > jacksonh... Public Health Trust Board of TrusteeoPEi ie=day Committee ... Jan 25, 2023 — Members of the public wishing to speak on a proposition before the Board of Trustees or its committees will be called in the order in which they ... ❑Miami -Dade County (.gov) 3 https://www.miamidade.gov > legistarfiles > Matters MEMORANDUM PDF Sep 17, 2024 — The Nominating Council directed the Public Health Trust to conduct a background check for the applicant. The background check concluded that no ... 12 pages Missing: placcscs I Show results with: placeses cloudfront.net https://d3n9y02raazwpg.cloudfront.net > jacksonh... Public Health Trust Board of Trustee ? 1 ie=day Committee ... Mar 29, 2023 — Member(s) Present: Amadeo Lopez -Castro, III, Walter T. Richardson, Matthew J. Allen, Antonio L. Argiz, and Carmen M. Sabater. Member(s) Excused:. Miami -Dade County (.gov) https://www.miamidade.gov > bond -book > revenue Public Health Trust Facilities PDF • The largest of the Trust Facilities is Jackson Memorial Hospital ("JMH"), which is described below. JMH and other health care facilities operated by the Trust ... 28 pages Missing: placcscs I Show results with: placeses Instagram • thehealthtrust 3 likes • 1 month ago The Health Trust Supporis 77 Local Organizations in ... We're proud to announce that Dr. Anthony "Tony" Iton, MD, JD, MPH, has been appointed CEO of The Health Trust, effective July 7, 2025. Public Health Institute https://www.phi.org > Programs Public Health Trust The Public Health Trust (PHT) works with private attorneys, government agencies and public health organizations interested in using litigation settlement funds. Missing: Antheny placcscs 4 American Public Health Association https://www.apha.org > annual > about > past -and -future... Past and Future Annual Meetings • For over 150 years, APHA has been bringing people together to improve the health of the American people. Be a part of our future. Future Dates*: 2026: Nov. 1-4, ... Missing: Antheny I Show results with: Anthony MIS Jackson Health System https://jacksonhealth.org > administrative > executive -team Executive Team Senior VP & Chief Executive Officer, Jackson South Medical Center and Jackson West Medical Center Chief Experience Officer, Jackson Health System. Missing: placcscs I Show results with: placeses People also search for Jackson Health System affiliation verification Jackson health care Jackson Health Board of Directors Jackson Health COO Jackson Healthcare careers Jackson Memorial Hospital Staff directory Jackson Employee Health Office Jackson Memorial Hospital legal department 1 2 3 4 5 6 7 8 9 10 Next Results are personalized - Try without personalization 33130, Miami, FL - Based on your places (Work) - Update location Help Send feedback Privacy Terms X Q Al Mode All News Images Short videos Videos Forums More Tools ❑ Miami -Dade County (gov) https://www.miamidade.gov > global > navigation > agen... Agency Directory - Trusts • Public Health Trust • Carlos A. Migoya. President & CEO. Main street address. Jackson Memorial Hospital. 1611 NW 12th Avenue. Miami, FL 33136. Phone number305- ... People also ask How much does Carlos Migoya make? Who is the CEO of Jackson Health System? Who owns Jackson Memorial Hospital in Miami? What is the largest hospital in Miami? Feedback Miami Herald https://www.miamiherald.com > news > article302695659 Miami's Jackson Health CEO Carlos Migbya gets big pay ... Apr 17, 2025 — After a $242,054 boost in salary, a nearly 21 % raise, Migoya is pulling in about $1.4 million a year at the nonprofit Jackson Health, one of the ... JiffJackson Health Foundation https://jacksonhealthfoundation.org > carlosmigoya Congratulations, Carlos Migoya The Jackson Health Foundation congratulates Jackson Health System CEO Carlos A. Migoya on his 10th anniversary leading Miami -Dade County's public health system. Missing: trust l Show results with: trust JIIS Jackson Health System https://jacksonhealth.org > about -us About Jackson Health System I History, Recognitions, and ... Carlos A. Migoya has led Jackson Health System since May 2011, overseeing one of the nation's largest public healthcare networks. Jackson has the distinction of ... FloridaHealthFinder (gov) https://locate.dev.healthfinder.fl.gov > Facility -Provider JACKSON MEMORIAL HOSPITAL Facility Profile Facility/Provider Type: Hospital ; Chief Executive Officer: CARLOS A MIGOYA; Financial Officer: MARK KNIGHT; Owner/Licensee: PUBLIC HEALTH TRUST OF MIAMI-DADE ... CMS Centers for Medicare & Medicaid Services I CMS (gov) gov https://www.cms.gov > files > document > notice-i... notice-imposition-cmp-jackson-mJi°Fffial-hospital- ... Jul 3, 2024 — Carlos A. Migoya. Chief Executive Officer. Public Health Trust of Miami Dade County Florida, d.b.a. Jackson Memorial Hospital. 1611 N.W. 12th ... 7 pages The Children's Movement of Florida https://www.childrensmovementflorida.org > carlos-mig... Carlos Migoya Carlos A. Migoya has led Jackson Health System since May 2011, overseeing one of the nation's largest public healthcare networks. Missing: trust I Show results with: trust National Freedom of Information Coalition https://www.nfoic.org > blogs > seiu-sues-jackson-health-... SEIU Sues Jackson Health, CEO Carlos Migoya For Public ... Service Employees International Union Local 1991 has sued Miami's Jackson Health System and CEO Carlos Migoya over public record requests about hospital ... HCOIC eft eMerge Americas https://emergeamericas.com > Speakers Carlos Migoya Apr 18, 2024 — Carlos A. Migoya has served as CEO of Jackson Health System since May 2011, overseeing one of the nation's largest and most respected public ... Missing: tru3t I Show results with: trust jllS Jackson Health System https://jacksonhealth.org > newsroom > amadeo-lopez-ca... Amadeo Lopez -Castro III Named Chairman of the Public ... Jun 27, 2024 — Migoya, president and CEO of Jackson Health System. "Today's appointment as chairman of this board holds special significance. He is continuing ... People also search for Carlos Migoya salary Carlos Migoya wife Carlos Migoya wikipedia Jackson Health System 1 2 3 4 5 6 7 8 9 10 Next Results are personalized - Try without personalization 33130, Miami, FL - Based on your places (Work) - Update location Help Send feedback Privacy Terms Debarred Contractors List (Updated: August 2024) MIAMI- COUNTY # Debarred Entity and/or Individuals (abc order) Address Initiating Dept. and Contact Person Cause of Debarment Effect of Debarment Length of Debarment Contractor's Certificate of Competency or License Number; or Qualifier, when applicable 1 Aaron Construction Group, Inc. 10820 NW 138 St. Bay C-1 Hialeah Gardens, FL 33018 Public Housing and Community Development Department (PHCD Director, (786) 469-4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period. 9/12/19 - 9/12/29 n/a 2 Diego Alejandro Estepa Vazquez (Individual, former officer of Aaron Construction Group, Inc.) 10820 NW 138 St Bay C-1 Hialeah Gardens, FL 33018 Public Housing and Community Development Department (PHCD Director, (786) 469- 4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County Indefinitely. 9/12/19 - Indefinite n/a 3 Javier Estepa (Individual, former officer of Aaron Construction Group, Inc.) 10820 NW 138 St Bay C-1 Hialeah Gardens, FL 33018 Public Housing and Community Development Department (PHCD Director, (786) 469- 4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County Indefinitely. 9/12/19 - Indefinite n/a 4 ABC Construction Inc 7280 NW 8th St, Miami, FL 33126 State Attorney's Office (State Attorney, 305-547-0100) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a five (5) year period 11/2/2022 - 11/2/2027 n/a 5 Jorge Gonzalez (individual, former owner/president of ABC Construction Inc) 7280 NW 8th St, Miami, FL 33126 State Attorney's Office (State Attorney, 305-547-0100) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a five (5) year period 11/2/2022 - 11/2/2027 n/a 6 Another Garage Gate, Inc. 3771 NW 51 ST UNIT A, Miami, FL 33142 State Attorneys Office (State Attorney, ey's 0f7-0100) The debarment is a condition of an Order of Probation. As such, he should be ineligible for any new work from any County Department. Excluded from Contracting w/Miami-Dade County for a five (5) year period 08/30/2023 - 08/30/2028 n/a 7 Raudel Diaz (Individual, princiapl of Another Garage Gate, Inc.) 3771 NW 51 ST UNIT A, Miami, FL 33142 (State State Attorney's Office (State Attorney, 305Office 00) The debarment is a condition of an Order of Probation. As such, he should be ineligible for any new work from any County Department. Excluded from Contracting w/Miami-Dade County for a five (5) year period 08/30/2023 - 08/30/2028 n/a 8 Association of Community Organizations for Reform Now (ACORN) 2609 Canal St, 4th floor New Orleans, LA 70119 U.S. Congress (Office of Management & Budget, 202- 395-3080) Section 163 of the Continuing Appropriations Resolution, 2010, Division B of Public Law #111-68 Excluded from Contracting w/ Miami -Dade County Indefinitely. 10/07/2009 - Indefinite n/a 9 Biscayne Housing Group, LLC 25 Se 2nd Ave, Miami, FL, 33131-1508 Public Housing and Community Development Department (PHCD Director, (786) 469-4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 1/5/2021 - 1/5/2031 n/a 10 Michael Cox (individual, former partner of Biscayne Housing Group, LLC) 828 NW 9th Ave Miami, Fl 33136 Public Housing and Community Development Department (PHCD Director, (786) 469- 4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 1/5/2021 - 1/5/2031 n/a 11 BJK Construction Services, Inc 970 W McNab Rd # 210, Fort Lauderdale, FL 33309 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period. 7/8/2021 - 7/8/2031 n/a This report is maintained by the Office of Small Business Development (SBD). Please note: this list is only updated when an entity or individual is added or removed. For any questions, please contact Michou Jean, at (305) 375-3161. Debarred Contractors List (Updated: August 2024) MIAMI-DADE COUNTY # Individuals (abc order) Debarred Entity and/or Address Person Initiating Dept. and Contact Cause of Debarment Effect of Debarment Length of Debarment Contractor's Certificate of Competency or License Number; or Qualifier, when applicable 12 Michael Runyan (individual, owner of BJK Construction Services, Inc) 4411 Ne 30 Ave,] Lighthouse Point, FL 33064 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period. 7/8/2021 - 7/8/2031 n/a 13 Carlisle Development Group 2950 SW 27th AveSte 200 Miami, FI 33133 Public Housing and Community Development Department (PHCD Director, (786) 469-4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 1/5/2021- 1/5/2031 n/a 14 Lloyd Boggio (individual, former partner of Carlisle Development Group) 3316 Devon CT, Miami, Fl 33133 Public Housing and Community Development Department (PHCD Director, (786) 469- 4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 1/5/2021 - 1/5/2031 n/a 15 Matthew Greer (individual, former partner of Carlisle Development Group) 240 Ari Way Miami Beach, F133141 Public Housing and Community Development Department (PHCD Director, (786) 469- 4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 1/5/2021 - 1/5/2031 n/a 16 Design Management and Builders Corporation 5514 NW 72ND AVE, Miami, Florida, 3316611 Public Housing and Community Development Department (PHCD Director, (786) 469-4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 9/22/2021-9/22/2031 n/a 17 Arturo P. Hevia (individual, owner of Design Management and Builders Corporation) 2411 SW 83 COURT Miami, FL 33155 Public Housing and Community Development Department (PHCD Director, (786) 469- 4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 9/22/2021-9/22/2031 n/a 18 Ecological Paper Recycling, Inc. 2350 NW 149th Street Opa Locka, FL 33054 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/ Miami -Dade County Indefinitely. 11/18/2015 - Indefinite n/a 19 Jose Flores (indvidual, former officer of Ecological Paper Recycling, Inc.) 2350 NW 149th Street Opa Locka, FL 33054 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/ Miami -Dade County Indefinitely. 11/18/2015 - Indefinite n/a 20 Manuela Flores (individual, former officer of Ecological Paper Recycling, Inc.) 2350 NW 149th Street Opa Locka, FL 33054 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/ Miami -Dade County Indefinitely. 11/18/2015 - Indefinite n/a 21 William Hernandez (individual, former officer of Ecological Paper Recycling, Inc.) 2350 NW 149th Street Opa Locka, FL 33054 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/ Miami -Dade County Indefinitely. 11/18/2015 - Indefinite n/a 22 Global Electrical & Lighting Supplies, Inc. 13751 SW 143rd Ct SUITE 101, MIAMI, FL 33186 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 1/18/2018 - 1/18/2028 n/a 23 Rolando Perez (individual, former officer of Global Electrical & Lighting Supplies, Inc.) 13752 SW 143rd CT, SUITE 101, MIAMI, FL 33186 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 1/18/2018 - 1/18/2028 n/a This report is maintained by the Office of Small Business Development (SBD). Please note: this list is only updated when an entity or individual is added or removed. For any questions, please contact Michou Jean, at (305) 375-3161. 2 Debarred Contractors List (Updated: August 2024) MIAMI-DADE COUNTY # Debarred Entity and/or Individuals (abc order) Address Initiating Dept. and Contact Person Cause of Debarment Effect of Debarment Length of Debarment Contractor's Certificate of Competency or License Number; or Qualifier, when applicable 24 Vivian Perez (individual, former officer of Global Electrical & Lighing Supplies, Inc.)for 13753 SW 143rd CT, SUITE 101, MIAMI, FL 33186 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County a ten (10) year period 1/18/2018 - 1/18/2028 n/a 25 Hialeah Transport, LLC 2965 E. llth Avenue Hialeah, FL 33013 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County Indefinitely. 12/21/2015 - Indefinite n/a 26 Halmag Solutions Inc. 801 South Biscayne River Drive FL, Miami 33169 State Attorney's Office (State Attorney, 305-547-0100) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a two (2) year period 05/17/2023 -05/16/2025 n/a 27 Allan Mairena (individual, owner and President of Halmag Solutions, Inc.) 802 South Biscayne River Drive FL, Miami 33169 State Attorney's Office (State Attorney, 305-547-0100) Violation of Section 10-39 Excluded from Contracting w/Miami-Dade County fora two (2) year period 05/17/2023 -05/16/2025 n/a 28 Amancio Alonso (individual, former officer of Hialeah Transport, LLC) 2965 E. llth Avenue Hialeah, FL 33013 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County Indefinitely. 12/21/2015 - Indefinite n/a 29 Jose Barroso (indvidual, former officer of E&C Electrical Service, Inc.) 1625 NE 104th St Miami Shores, FL 33138 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period. 1/18/2018 - 1/18/2028 n/a 30 Roy J. Bustillo (individual, former officer of Municipal Lighting Systems Group, Inc.) 7035 SW 47th St A Miami, FL 33155 Internal Services Department (ISD Director, 305-375-1135) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a ten (10) year period. 1/18/2018 - 1/18/2028 n/a 31 Jorge De La Noval (individual, owner and operator of The Ultimate Electrician) 13701 SW 88TH ST STE 222 MIAMI, FL 33186 Miami Dade County Office of Inspector General, 305-375- 1946 Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a five (5) year period 8/26/2021 - 8/26/2026 n/a 32 Siltek Affordable Housing, LLC. 5800 SW 178th Ave, Southwest Ranches, FL 33331 Public Housing and Community Development Department (PHCD Director, (786) 469-4106) Violation of Section 10-39 Excluded from Contracting w/Miami-Dade County for a ten (10) year period 6/20/2024 - 6/19/2034 n/a 33 Rene Antonio Sierra (individual, former officer of Siltek Affordable Housing, LLC.) 481 Ranch Road Weston, Florida 33325 Public Housing and Community Development Department (PHCD Director, (786) 469- 4106) Violation of Section 10-38 Excluded from Contracting w/Miami-Dade County for a nine (9) year period 11/30/2019 - 11/29/2028 n/a This report is maintained by the Office of Small Business Development (SBD). Please note: this list is only updated when an entity or individual is added or removed. For any questions, please contact Michou Jean, at (305) 375-3161. 3 MANAGEMENT SERVICES Menu Home / Business Operations / State Purchasing / State Agency Resources / Vendor Rye istration and Vendor Lists / Convicted Vendor List Convicted Vendor List The Department of Management Services maintains a "list of the names and addresses of those who have been disqualified from the public contracting and purchasing process" under section 287.133, Florida Statutes. There are currently no vendors on this list. State Purchasing Chief Procurement Officer (CPO) Memoranda Executed Agency ACS Requests State Contracts and Agreements MyFlorida MarketPlace Public Procurement Professional Development Approved Drone Manufacturers State Agency Resources Statewide Travel Management System Vendor Resources State Purchasing Insurance Program .(S P I P) Contact Us State Purchasing Website Feedback Office of Supplier Development .(OSD) Terms and Conditions Privacy Statement Agency Information Open Government DMS Leadership Agency Organization Accessibility Statement Copyright ©2025 Department of Management Services - State of Florida 5 P` bIi Fi ltl-i o y r y c rt.s X `., Q Al Mode All News Images Short videos Videos Forums More Tools X • CFWife t 120+ followers Romy Reyes (CCFWife) / X I'm Romy, 23. My Fiance Jack, 24, has Cystic Fibrosis and we have a son Rocky born 09.08.17 through IVF (ICSI). Insta - @lovelifeandhelpingto survive Missing: Fie l Show results with: public Grant Professionals Association (77 https://grantprofessionals.org > events > RSVPIist Registration List: 2021 South Florida Chapter of GPA Virtual ... Romy Reyes. Public Heath Trust of Miami -Dade, Florida. RSVP Comments: N/A. Attending: Yes. Johna Rodgers. Johna Rodgers Consulting, LLC. RSVP Comments: N/A. ® Linkedln https://www.linkedin.com > pub > dir 50+ "Romy Reyes" profiles Translate this page View the profiles of professionals named "Romy Reyes" on Linkedln. There are 50+ professionals named "Romy Reyes", who use Linkedln to exchange information, ... Missing: Fie trust Romford Recorder https://www.romfordrecorder.co.uk > news > 21541312... Upminster woman runs to the beat for boyfriend with cystic ... Oct 1, 2014 — Romy Reyes, of Upminster, was inspired to take on the Run To The Beat challenge in aid of the Cystic Fibrosis Trust by her boyfriend, ... FIU Nicole Wertheim College of Nursing & Health Sciences https://cnhs.fiu.edu > office -of -the -dean > docs Nicole Wertheim College of Nurbri% & Health Sciences Ethos Apr 28, 2023 — The Nicole Wertheim College of Nursing & Health Sciences was created in 2006 with the joining of the FIU. School of Nursing and the School of ... 12 pages Facebook https://m.facebook.com > cftrust > photos Cystic Fibrosis Trust - Over the weekend the Government ... Faye Marie. Brett Carr ; Amanda Liman. Romy Reyes; Claire Wareing. Jodie S Marshall xx; Gemma Carr. Brett Carr ; Elaine Valentine. Catharine. t16143 Florida Hospital News and Healthcare Report https://southfloridahospitalnews.com > im-a-fortunate-p... I'm a Fortunate Physician. My Job Allow&Me to Truly Care ... Nov 1, 2023 — Care: Because of the extended time I have with my patients and the trust that develops between us, they openly share their concerns, allowing me ... Missing: Remy public Conviva Care Centers https://www.convivacarecenters.com > physicians > rom... Romeo Reyes Legaspi, MD I Primary Care for Seniors Dr. Legaspi earned his medical degree from the University of Santo Tomas, Manila, Philippines, in 1994 and holds a Bachelor of Science in Psychology, cum laude, ... Missing: Remy public #gist Images Romeo Reyes Legaspi, MD I P... I'm a Fortunate Physician. My ... Mario Reyes - Manager, IT Se... Conviva Care Centers . South Florida Hospital Ne... © The Org Show more images Test Miami https://www.testmiami.org > map Locations Map page showing locations of HIV related offices, centers, and resources. 1 2 3 4 5 6 7 8 9 10 Next Results are personalized - Try without personalization 33130, Miami, FL - Based on your places (Work) - Update location Help Send feedback Privacy Terms 1 An official website of the United States government Here's how you know Revolutionary FAR Overhaul Impacts to SAM.gov Show Details Aug 15, 2025 x Records Retention Policy Impacts Old SAM Registration Data Show Details May 21, 2025 x WSAMGov® Home Search Data Bank Data Services Help See All Alerts Core Data Entity Registration Core Data Business Information Entity Types Financial Information Points of Contact Assertions Reps and Certs (FAR/DFARS) Reps and Certs (Financial Assistance) Exclusions Responsibility / Qualification • • • Entity Information PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY, FLORIDA Unique Entity ID CAGE/NCAGE RWJPK2A5D3P1 3LZR4 Physical Address 1611 NW 12TH AVE Miami, Florida 33136-1005, United States Purpose of Registration All Awards Version Current Record Active Registration Mailing Address 1611 NW 12TH AVE Miami, Florida 33136-1005, United States Expiration Date rDec 4, 2025 BUSINESS INFORMATION Doing Business As URL (blank) http://www.jacksonhe alth.org Division Name Division Number (blank) (blank) Congressional District State/Country of Florida 26 Incorporation (blank), (blank) Owner Immediate Owner CAGE Legal Business Name (blank) (blank) Registration Dates Activation Date Dec 6, 2024 Submission Date Dec 4, 2024 Initial Registration Date Nov 19, 2003 Entity Dates Highest Level (blank) (blank) Entity Start Owner Date Jun 25, 1918 Executive Compensation Fiscal Year End Close Date Sep 30 Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions. SAM SEARCH AUTHORIZATION I authorize my entity's non -sensitive information to be displayed in SAM public search results: Yes ENTITY TYPES Business Types Entity Structure U.S. Government Entity Entity Type US Local Government Profit Structure (blank) Organization (blank) Factors Government Types U.S. Local Government, County Socio-Economic Types Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA -certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration. Other Entity Qualifiers Hospital FINANCIAL INFORMATION Payments Accepts Credit Card Payments Debt Subject To Offset 0 No No ACCOUNT DETAILS r EFT Indicator 0000 CAGE Code 3LZR4 POINTS OF CONTACT Electronic Business Primary Point of Contact ROMY REYES, GRANT MANAGER Address 1611 NW 12TH AVE Miami, Florida 33136-1005 United States Alternate Point of Contact Yuliet Camber, Account 3 Address 1500 NW 12 Avenue Suite 108 Miami, Florida 33136 United States Government Business Primary Point of Contact YIRAH Y OCHOA, GRANTS DIRECTOR Address 1611 NW 12 Avenue Miami, Florida 33136-1005 United States Alternate Point of Contact YIRAH OCHOA Address 1500 N.W. 12TH Avenue Suite 803 Miami, Florida 33136 United States Past Performance Primary Point of Contact Anthony S Placeres, Assistant Comptroller Address 1500 NW 12 Avenue Suite 1008 Miami, Florida 33136 United States Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Terms of Use Help Privacy Policy Check Entity Status Restricted Data Use Federal Service Desk Freedom of Information Act External Resources Accessibility Contact G S`. L WARNING This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution. This system contains Controlled Unclassified Information (CUI). All individuals viewing, reproducing or disposing of this information are required to protect it in accordance with 32 CFR Part 2002 and GSA Order CIO 2103.2 CUI Policy. An official website of the U.S. General Services Administration MANAGEMENT SERVICES Menu Home / Business Operations / State Purchasing / State Agency Resources / Vendor Rye istration and Vendor Lists / Suspended Vendor List Suspended Vendor List The Department of Management Services maintains a list of vendors that have been removed from the Vendor List pursuant to section 287.1351, Florida Statutes. Building Maintenance of America, LLC d/b/a Florida Building Maintenance 333 North Falkenburg Road #A117 Tampa, FL 33619 DMS 07/02/14 Notice of Default - Building Maintenance of America, LLC d/b/a Florida Building Maintenance [ - 575.81 KB ] Club Tex, Inc. 2025 Broadway, Suite #15G New York, NY 10023 DOC 01/24/19 Notice of Default - Club Tex, Inc. [l111.75KB] Correctional Consultants, LLC P.O. Box 515 Chattahoochee, FL 32324 DOC 12/10/19 Notice of Default - Correctional Consultants, LLC [ - 85.95 KB ] iColor Printing and Mailing, Inc. 22873 Lockness Avenue Torrance, CA 90501 DEP 02/20/12 Notice of Default - iColor Printing and Mailing, Inc. [ - 320.17 KB ] Visual Image Design Firm, LLC 6845 Narcoossee Road, Suite 59 Orlando, FL 32822 DOH 06/25/15 Notice of Default - Visual Image Design Firm, LLC [ - 1.78MB] Updated 12/10/19 State Purchasing Chief Procurement Officer (CPO) Memoranda Executed Agency ACS Requests State Contracts and Agreements MyFlorida MarketPlace Public Procurement Professional Development Approved Drone Manufacturers State Agency Resources Statewide Travel Management System Vendor Resources State Purchasing Insurance Program .(S P I P) Contact Us State Purchasing Website Feedback Office of Supplier Development .(OSD) Document reader download links: Adobe PDF Reader Agency Organization Copyright ©2025 Department of Management Services - State of Florida X `., Q Al Mode All News Images Short videos Videos Forums More Tools ❑ Miami -Dade County (.gov) https://www.miamidade.gov > library > ryanwhite Service Providers Contact List PDF Jul 22, 2019 — Public Health Trust of Miami -Dade County, Florida (PHT). Official ... Yirah Ochoa. Medical Transportation (MT). Director, Grant Operations. 18 pages My Florida Legal https://www.myfloridalegal.com > get_html > Publ... 36DF66D7-A795-4866-8340-10CC- A0285 Condensed Civil Rights Statement: The Public Health Trust of Miami -Dade County FL dba Jackson Health ... DN: cn=rah Ochoa, Public Health. • Trust of Ham ... ❑ Miami -Dade County (.gov) https://www.miamidade.gov > jhs-application 0413 9 59 914 1 PDF Sep 2, 2021 — Governed by the Public Health Trust, a team of citizen volunteers acting on behalf of ... Yirah Ochoa, Director of Grant Operations (JHS). s cloudfront.net https://d3n9y02raazwpg.cloudfront.net > jacksonh... public health trust board of trustees �iFe-day committee ... Sep 27, 2023 — Yirah Ochoa. Director, Grant Operations, Jackson Memorial Hospital. September 27, 2023. Social Work Services for Jackson Pediatric Center (JPC) ... 217 pages nJ Grant Professionals Association https://grantprofessionals.org > events > RSVPIist Registration List: 2021 South Florida Chapter of GPA Virtual ... Yirah Ochoa. Public Health Trust of Miami -Dade, Florida. RSVP Comments: N/A. Attending: Yes. Rhea Paniesin. YMCA of Kingston and Ulster County. RSVP Comments: N ... elderaffairs.org PDF l HUn https://elderaffairs.org > adi_manual_2016 Florida Alzheimer's Disease Initiative - Elder Affairs Yirah Ochoa, MHSA, Coordinator; ADI Brain. Bank, The Wien Center, Mt. Sinai ... of Health & Human Services. Health Information Pri- vacy. www.hhs.gov ... Aventura, FL https://egov2.cityofaventura.com > Imaging > DocView Local Mitigation Strategy Part 5 - Meefing Minutes Jul 2, 2015 — ... of Jackson Memorial Hospital and the Public Health Trust. The ... Yirah Ochoa (Jackson Memorial) supported the annual call down for the ... Images Theresa Ochoa - Faculty - UT... UTHealth Houston School of ... Sarah Ochoa - Master of Publ... UTHealth School of Public...\' X I Linkedln Show more images - Susan G. Komen https://www.komen.org > wp-content > uploads Komen Group _990_FYE_3-31-15_PD _signedcopy.pdf KOMEN®, WE ARE COMMITTED TO ENDING BREAST CANCER FOREVER. BY EMPOWERING PEOPLE, ENERGIZING SCIENCE TO FIND THE CURES AND. ENSURING QUALITY CARE FOR ALL PEOPLE, ... 160 pages Candid http://990s.foundationcenter.org > 990_pdf_arch... AA` mow /Z/Z3 PDF Mar 31, 2014 — DALLAS, TX 75244-6125. G Gross receipts S. 141,952,438. ApPl,cehon. F Name and address of principal officer. DR. JUDITH SALERNO. 1 2 3 4 Next Results are personalized - Try without personalization 33130, Miami, FL - Based on your places (Work) - Update location Help Send feedback Privacy Terms X `., Q Al Mode All Images News Videos Short videos Shopping More Tools cm Linkedln Yuliet Camber 210+ followers Yuliet Camber - BBA Florida International University ... Experienced accountant and payroll consultant seeking to expand my knowledge in the Information Systems/ Business Analytics fields. Missing: health trust thechildrenstrust https://www.thechildrenstrust.org > Partner > Contact Us Contact Us I The Children's Trust Yuliet Alfonso joined The Children's Trust in 2022. She began her career in public service nearly 15 years ago at the Florida Department of Children and ... Grant Professionals Association https://grantprofessionals.org > events > RSVPIist Registration List: 2021 South Florida Chapter of GPA Virtual ... Yuliet Camber. Public Heath Trust of Miami -Dade, Florida. RSVP Comments: N/A. Attending: Yes. Samantha Cepoudy. Miami Dade College. RSVP Comments: N/A. .IILS Jackson Health System https://jacksonhealth.org > administrative > public -health... Public Health Trust Board of Trustees - Miami The Public Health Trust, created in 1973, is composed of volunteer citizens who set policies that assure that Jackson Health System is responsive to community ... Missing: ++et Cambcr LJ Miami -Dade County (gov) https://www.miamidade.gov > legistarfiles > Matters MEMORANDUM PDF Sep 17, 2024 — The Nominating Council directed the Public Health Trust to conduct a background check for the applicant. The background check concluded that no ... 12 pages Missing: diet 1 Show results with: Yuliet SEC.gov https://www.sec.gov > files > litigation > admin Public Health Trust of Miami -Dauer county, Florida Sep 13, 2013 — The Bonds were issued by. Miami -Dade County, Florida, ("the County") for the benefit of PHT, a quasi -governmental entity that operates the ... 9 pages Missing:+iet I Show results with: Yuliet 'Sr ProPublica https://projects.propublica.org > organizations Public Health Trust Of Miami Dad County Florida - News Apps Designated as a 501(c)(3) Organizations for any of the following purposes: religious, educational, charitable, scientific, literary, testing for public safety, ... U Miami -Dade County (.gov) https://www.miamidade.gov > legistarfiles > Matters public health trust of miami-dade cJaLy,=florida Mar 5, 2024 — We have audited the financial statements of the business -type activities, the discretely presented component unit, and the fiduciary activities ... 118 pages Missing:+iet I Show results with: Yuliet s LegiStorm https://www.legistorm.com > organization > summary Public Health Trust of Miami -Dade County (Fla.) The Trust is comprised of concerned volunteer citizens who set policies that assure that Jackson Health System is responsive to community needs. This "citizen ... Missing:+iet I Show results with: Yuliet 141.1 Linkedln https://www.linkedin.com > Yuliet > us-O-United-States 700+ "Yuliet" profiles Yuliet Camber. BBA Florida International ... Yuliet C. DNP, APRN, FNP-BC. Miami, FL. University of Miami Health System, +5 more. 1 2 3 4 Next Results are personalized - Try without personalization 33130, Miami, FL - Based on your places (Work) - Update location Help Send feedback Privacy Terms Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB INTERLOCAL AGREEMENT By and Between The City of Miami, Florida And The Public Health Trust of Miami -Dade County, Florida, an agency and instrumentality of Miami -Dade County THIS INTERLOCAL AGREEMENT FOR THE PROVISION OF MEDICAL DIRECTION SERVICES ("Agreement") is entered into this 8th day of January , 2026. (the "Effective Date"), by and between the PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY, an agency and instrumentality of Miami -Dade County (hereinafter referred to as the "Health Trust."), and the CITY OF MIAMI, a municipal corporation of the State of Florida, whose address is 444 S.W. 2nd Avenue, 10th Floor, Miami, Florida 33130 (the "City"). The Trust and the City may each be individually referred to as a "Party" or collectively as the "Parties." RECITALS: WHEREAS, Section 163.01(4), Fla. Stat., of the Florida Interlocal Cooperation Act of 1969, provides that "A public agency of this state may exercise jointly with any other public agency of the state, of any other state, or of the United States Government any power, privilege, or authority which such agencies share in common and which each might exercise separately"; and WHEREAS, this Agreement will serve as a contract with the Health Trust to provide medical direction services as more fully set forth in the Scope of Services (attached hereto as Exhibit "A," the "Services") to the City of Miami Department of Fire -Rescue; and WHEREAS, the City wishes to engage the Services of the Health Trust, and the Health Trust wishes to perform Services for the City; and WHEREAS, the Health Trust and the City agree to act in a spirit of mutual cooperation and good faith in the implementation of this Agreement; and WHEREAS, pursuant to Section 18-112 of the Code of the City of Miami, Florida, as amended, and subject to City Commission approval, the City is exempt from all competitive bidding procedures when it enters into an agreement with another governmental agencies or state funded institutions; and WHEREAS, the Parties have negotiated this Agreement in good faith and agree to be bound in accordance with its terms and conditions. NOW, THEREFORE, in consideration of the forgoing Recitals, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties hereby enter into this Agreement as follows: Page 1 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB TERMS: 1. RECITALS AND INCORPORATIONS: The foregoing recitals are true and correct and are hereby incorporated into and made a part of this Agreement. 2. TERM: This Agreement shall become effective on the date as stipulated above in the first paragraph of this Agreement, which is the Effective Date and shall continue through five (5) years following the Effective Date. The City and the Health Trust may extend this Agreement for an additional two (2) year period upon mutual agreement which shall be evidenced by an amendment to this Agreement, provided the same shall be executed by the Parties prior to the expiration of the initial term of the Agreement. The City Manager shall have the option to extend or terminate the Agreement for convenience, that is, for any or no cause pursuant to Section 13. 3. SCOPE OF SERVICES: A. The Health Trust agrees to provide the Services as specifically described, and under the special terms and conditions set forth in Exhibit "A" hereto, which by this reference is incorporated into and made a part of this Agreement, and such other related tasks the Trust determines is necessary to fully perform and complete the Services. Notwithstanding the foregoing, the Parties agree that the Services set forth in Exhibit "A" can only be modified upon mutual consent of the Parties, exemplified as an amendment to this Agreement. B. The Health Trust represents to the City that: (i) it possesses all qualifications, licenses, certificates, authorizations, and expertise required for the performance of the Services, including but not limited to full qualification to do business in Florida; (ii) it is not delinquent in the payment of any sums due to the City, including payment of permits, fees, occupational licenses, etc., nor in the performance of any obligations or payment of any monies to the City; (iii) all personnel assigned to perform the Services are and shall be, at all times during the term hereof, fully qualified and trained to perform the tasks assigned to each; (iv) the Services will be performed in the manner described in Exhibit "A"; and (v) each person executing this Agreement on behalf of The Health Trust has been duly authorized to so execute the same and fully bind the Health Trust as a party to this Agreement. C. The Health Trust shall at all times provide fully qualified, competent and physically capable employees to perform the Services under this Agreement. The City may require the Health Trust to remove any employee the City deems careless, incompetent, insubordinate, or otherwise objectionable and whose continued services under this Agreement is not in the best interest of the City. 4. COMPENSATION: The Health Trust as its sole compensation for the Services provided, shall receive compensation as indicated in Exhibit "B.", which by this reference is incorporated into and made a part of this Agreement. 5. OWNERSHIP OF DOCUMENTS: The Health Trust understands and agrees that any Page 2 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB information, document, report or any other material whatsoever which is given by the City to the Health Trust, its employees, or any sub-contractor(s), or which is otherwise obtained or prepared by the Health Trust solely and exclusively for the City pursuant to or under the terms of this Agreement, is and shall at all times remain the property of the City. The Health Trust agrees not to use any such information, document, report or material for any other purpose whatsoever without the written consent of the City Manager, which may be withheld or conditioned by the City Manager in their sole discretion. The Health Trust is permitted to make and to maintain duplicate copies of the files, records, documents, etc. if the Health Trust determines copies of such records are necessary subsequent to the termination of this Agreement; however, in no way shall the confidentiality as permitted by applicable law be breached. The City shall maintain and retain ownership of any and all documents which result upon the completion of the work and Services under this Agreement as per the terms of this Section 5. 6. AUDIT AND INSPECTION RIGHTS AND RECORDS RETENTION: A. The Health Trust agrees to provide access to the City or to any of its duly authorized representatives, to any books, documents, papers, and records of the Health Trust which are directly pertinent to this Agreement, for the purpose of audit, examination, excerpts, and transcripts. The City may, at reasonable times, and for a period of up to five (5) years following the date of final payment by the City to the Health Trust under this Agreement, audit and inspect, or cause to be audited and inspected, those books, documents, papers, and records of the Health Trust which are related to the Health Trust's performance under this Agreement. The Health Trust agrees to maintain any and all such books, documents, papers, and records at its principal place of business for a period of five (5) years after final payment is made under this Agreement and all other pending matters are closed. The Health Trust's failure to adhere to, or refusal to comply with, this condition shall result in the immediate cancellation of this Agreement by the City. B. The City may, at reasonable times during the term hereof, inspect the Health Trust's facilities and perform such tests, as the City deems reasonably necessary, to determine whether the goods or services required to be provided by the Health Trust under this Agreement conform to the terms hereof. The Health Trust shall make available to the City all reasonable facilities and assistance to facilitate the performance of tests or inspections by City representatives. All tests and inspections shall be subject to, and made in accordance with, the provisions of Section 18-101 and 18-102 of the Code of the City of Miami, Florida as same may be amended or supplemented, from time to time. 7. AWARD OF AGREEMENT: The Health Trust represents and warrants to the City that it has not employed or retained any person or company employed by the City to solicit or secure this Agreement and that it has not offered to pay, paid, or agreed to pay any person any fee, commission, percentage, brokerage fee, or gift of any kind contingent upon or in connection with, the award of this Agreement. 8. PUBLIC RECORDS: Page 3 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB A. The Health Trust understands that the public shall have access, at all reasonable times, to all documents and information pertaining to City Agreements, subject to the provisions of Chapter 119, Florida Statutes, and agrees to allow access by the City and the public to all documents subject to disclosure under applicable laws. The Health Trust's failure or refusal to comply with the provisions of this section shall result in the immediate cancellation of this Agreement by the City. B. The Health Trust shall additionally comply with Section 119.0701, Florida Statutes, including without limitation: (1) keep and maintain public records that ordinarily and necessarily would be required by the City to perform this service; (2) upon request from the City's custodian of public records, provide the City with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law; (3) ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the Health Trust does not transfer the records to the City; (4) upon completion of the contract, transfer, at no cost, to the City all public records in possession of the Health Trust or keep and maintain public records required by the City to perform the service, if the Health Trust transfers all public records to the City upon completion of the Agreement, the Health Trust shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements, if the Health Trust keeps and maintains public records upon completion of the Agreement, the Health Trust shall meet all applicable requirements for retaining public records, all records stored electronically must be provided to the City, upon request from the City's custodian of public records, in a format that is compatible with the information technology systems of the City. Notwithstanding the foregoing, the Health Trust shall be permitted to retain any public records that make up part of its work product solely as required for archival purposes, as required by law, or to evidence compliance with the terms of the Agreement. C. Should the Health Trust determine to dispute any public access provision required by Florida Statutes, then the Health Trust shall do so in accordance with the provisions of chapter 119, Florida Statutes, at its own expense and at no cost to the City. IF THE HEALTH TRUST HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE HEALTH TRUST'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (305) 416- 1800, VIA EMAIL AT PUBLICRECORDS@MIAMIGOV.COM, OR REGULAR EMAIL AT CITY OF MIAMI OFFICE OF THE CITY ATTORNEY, 444 SW 2ND AVENUE, 9TH FL, MIAMI, FL 33130. THE HEALTH TRUST MAY ALSO CONTACT THE RECORDS CUSTODIAN AT THE CITY OF MIAMI DEPARTMENT WHO IS ADMINISTERING THIS CONTRACT. 9. COMPLIANCE WITH FEDERAL, STATE AND LOCAL LAWS: The Health Trust understands that agreements with local governments are subject to certain laws and regulations, including laws pertaining to open public meetings, public records, conflicts of interest, procurement procedures, record keeping, etc. The City and the Health Trust agree to comply Page 4of27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB with and observe all such applicable federal, state and local laws, rules, regulations, codes and ordinances, as they may be amended from time to time. The Health Trust shall comply with all applicable laws, rules and regulations in the performance of this Agreement, including but not limited to licensure, and certifications required by law for these professional services. The Health Trust further agrees to include in all of the Health Trust's agreements with sub-contractor(s) for any Services related to this Agreement this provision requiring sub-contractor(s) to comply with and observe all applicable federal, state, and local laws rules, regulations, codes and ordinances, as they may be amended from time to time. 10. E-VERIFY EMPLOYMENT VERIFICATION: By entering into this Agreement, the Health Trust and its subcontractors are jointly and severally obligated to comply with the provisions of Section 448.095, Florida Statutes, as amended, titled "Employment Eligibility." The Health Trust affirms that (a) it has registered and uses the U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees of the Health Trust; (b) it has required all subcontractors to this Agreement to register and use the E-Verify system to verify the work authorization status of all new employees of the subconsultant; (c) it has an affidavit from all subcontractors to this Agreement attesting that the subconsultant does not employ, contract with, or subcontract with, unauthorized aliens; and (d) it shall maintain copies of any such affidavits for the duration of the Agreement. Registration information is available at: http://www.uscis.gov/e- verify. If City has a good faith belief that Health Trust has knowingly violated Section 448.09(1), Florida Statutes, then City shall terminate this Agreement in accordance with Section 448.095(5)(c), Florida Statutes. In the event of such termination, the Health Trust agrees and acknowledges that it may not be awarded a public contract for at least one (1) year from the date of such termination and that Health Trust shall be liable for any additional costs incurred by the City because of such termination. In addition, if City has a good faith belief that a subcontractor has knowingly violated any provisions of Sections 448.09(1) or 448.095, Florida Statutes, but Health Trust has otherwise complied with its requirements under those statutes, then Health Trust agrees that it shall terminate its contract with the subcontractor upon receipt of notice from the City of such violation by subcontractor in accordance with Section 448.095(5)(c), Florida Statutes. Any challenge to termination under this provision must be filed in the Circuit or County Court by the City, Health Trust, or subcontractor no later than twenty (20) calendar days after the date of Agreement termination. 11. INDEMNIFICATION: A. Subject to the provisions and limitation of Section 768.28, Florida Statutes as it may be amended, and to the extent permitted by Florida Statutes, the Health Trust shall indemnify, defend and hold harmless the CITY and its officials, employees and agents (collectively referred to as "indemnities") and each of them from and against all loss, costs, penalties, fines, damages, claims, expenses (including attorney's fees) or liabilities (collectively referred to as "Liabilities" by reason of any injury to or death of any person or damage to or destruction or loss of any property arising out of, resulting from, or in connection with (a) the performance or non-performance of the Services contemplated by this Agreement which is or is alleged to be directly or indirectly caused, in whole or in part, by any act, omission, default or Page 5of27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB negligence (whether active or passive) of the Health Trust or its employees, agents or subcontractors (collectively referred to as the "HEALTH TRUST"), or (ii) the failure of the Health Trust to comply with any of the paragraphs herein or the failure of the Health Trust to conform to statutes, ordinances or other regulations or requirements of any governmental authority, federal or state, in connection with the performance of this Agreement. The Health Trust expressly agrees to indemnify and hold harmless the Indemnities, or any of them, from and against all liabilities which may be asserted by an employee or former employee of The Health Trust, or any of its subcontractors, as provided above, for which the Health Trust's liability to such employee or former employee would otherwise be limited to payments under state Worker's Compensation or similar laws. B. The Health Trust further agrees to indemnify, defend and hold harmless the Indemnities from and against (i) any and all Liabilities imposed on account of the Health Trust's violation of any law, ordinance, order, rule, regulation, condition, or requirement, in any way related, directly or indirectly, to the Health Trust's performance hereunder, compliance with which is left by this Agreement to the Health Trust, and (ii) any and all claims, liens and/or suits for labor and materials furnished by the Health Trust or utilized in the performance of this Agreement. Nothing herein shall be interpreted to be a waiver of sovereign immunity afforded to the Health Trust and as set forth in Section 768.28, Florida Statutes, as it may be amended. 12. DEFAULT: If the Health Trust fails to comply materially with any term or condition of this Agreement, or fails to perform in any material way any of its obligations hereunder, and fails to cure such failure after reasonable notice from the City, then the Health Trust shall be in default. The Health Trust understands and agrees that termination of this Agreement under this section shall not release the Health Trust from any obligation accruing prior to the effective date of termination. Upon the occurrence of a default hereunder the City, in addition to all remedies available to it by law, may immediately, upon written notice to Provider, terminate this Agreement whereupon all payments, advances, or other compensation paid by the City to the Health Trust while the Health Trust was in default shall be immediately returned to the City. Should the Health Trust be unable or unwilling to commence to perform the Services within the time provided or contemplated herein, then, in addition to the foregoing, the Health Trust shall be liable to the City for all expenses incurred by the City in preparation and negotiation of this Agreement, as well as all costs and expenses incurred by the City in the re -procurement of the Services, including consequential and incidental damages. 13. RESOLUTION OF AGREEMENT DISPUTES: The Health Trust understands and agrees that all disputes between the Health Trust and the City based upon an alleged violation of the terms of this Agreement by the City shall be submitted to the City Manager for their resolution, prior to the Health Trust being entitled to seek judicial relief in connection therewith. In the event that the amount of compensation hereunder exceeds Twenty -Five Thousand Dollars and No/Cents ($25,000), the City Manager's decision shall be approved or disapproved by the City Commission. The Health Trust shall not be entitled to seek judicial relief unless: (i) it has first received City Manager's written decision, approved by the City Commission if the amount of Page 6 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB compensation hereunder exceeds Twenty -Five Thousand Dollars and No/Cents ($25,000), or (ii) a period of sixty (60) days has expired, after submitting to the City Manager a detailed statement of the dispute, accompanied by all supporting documentation or ninety (90) days if City Manager's decision is subject to City Commission approval); or (iii) City has waived compliance with the procedure set forth in this section by written instruments, signed by the City Manager. In no event may the amount of compensation under this Section exceed the total compensation set forth in Section 4 of this Agreement. The adherence to this Section is the condition precedent to the institution of any civil action by the Health Trust against the City. 14. TERMINATION; OBLIGATIONS UPON TERMINATION: A. The City, acting by and through its City Manager, shall have the right to terminate this Agreement, in its sole discretion, and without penalty, at any time, by giving written notice to the Health Trust at least sixty (60) calendar days prior to the effective date of such termination. In such event, the City shall pay to the Health Trust compensation for Services rendered and approved expenses incurred prior to the effective date of termination. In no event shall the City be liable to the Health Trust for any additional compensation and expenses incurred, other than that provided herein, and in no event shall the City be liable for any consequential or incidental damages. The Health Trust shall have no recourse or remedy against the City for a termination under this subsection except for payment of fees due prior to the effective date of termination. B. The City, by and acting through its City Manager, shall have the right to terminate this Agreement, in its sole discretion, and without penalty, upon the occurrence of an event of a material breach hereunder, and failure to cure the same within sixty (60) days after written notice of default. In such event, the City shall not be obligated to pay any amounts to the Health Trust for Services rendered by the Health Trust after the date of termination, but the parties shall remain responsible for any payments that have become due and owing as of the effective date of termination. In no event shall the City be liable to the Health Trust for any additional compensation and expenses incurred, other than that provided herein, and in no event shall the City be liable for any direct, indirect, consequential or incidental damages. This Section shall survive the cancellation or expiration of this Agreement. C. The Health Trust will have the right to terminate this Agreement, at any time, by giving at least 60 days prior written notice of termination to the City. Notice must be by certified mail, return receipt requested, to the party and address specified in this Agreement. Notice is effective upon receipt. In such event, the CITY shall pay to the Health Trust compensation for services rendered and expenses incurred prior to the effective date of termination. In no event shall the CITY be liable to the Health Trust for any additional compensation, other than that provided herein, or for any consequential or incidental damages. 15. INSURANCE: The City and the Health Trust acknowledge that they each operate a self - insured program in accordance and subject to the limitations and provisions of Section 768.28 of the Florida Statutes. The Health Trust agrees to provide to the CITY a Certificate of Insurance within ten (10) days after receipt of the City's Notice of Award. Certificate of Insurance must have Page 7 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881 BB the insurance coverage as provided in Section 768.28, and 440 F.S. 16. NONDISCRIMINATION, EQUAL EMPLOYMENT OPPORTUNITY AND AMERICANS, WITH DISABILITIES ACT: The Health Trust shall not unlawfully discriminate against any person in Its operations and activities or in its use or expenditure of funds in fulfilling its obligations under this Agreement. The Health Trust shall affirmatively comply with all applicable provisions of the Americans with Disabilities Act (ADA) in the course of providing any services funded by the City, including Titles I and li of the ADA (regarding nondiscrimination on the basis of disability), and all applicable regulations, guidelines, and standards. In addition, The Health Trust shall take affirmative steps to ensure nondiscrimination in employment against disabled persons. The Health Trust affirms that It shall not discriminate as to race, age, religion, color, gender, gender identity, sexual orientation, national origin, marital status, physical or mental disability, political affiliation, or any other factor which cannot be lawfully used In connection with its performance under the contract. Furthermore, The Health Trust affirms that no otherwise qualified Individual shall solely by reason of their race, age, religion, color, gender, gender identity, sexual orientation, national origin, marital status, physical or mental disability, political affiliation, or any other factor which cannot be lawfully used, be excluded from the participation in, be denied benefits of, or be subjected to, discrimination under any program or activity. In connection with the conduct of its business, including performance of services and employment of personnel, The Health Trust shall not discriminate against any person on the basis of race, age, religion, color, gender, gender identity, sexual orientation, national origin, marital status, physical or mental disability, political affiliation, or any other factor which cannot be lawfully used. All persons having appropriate qualifications shall be afforded equal opportunity for employment. 17. ASSIGNMENT: This Agreement shall not be assigned by the Health Trust, in whole or in part, and the Health Trust shall not assign any part of its operations, without the prior written consent of the City Manager, which may be withheld or conditioned, in the City's sole discretion through the City Manager. 18. NOTICES: All notices or other communications required under this Agreement shall be in writing and shall be given by hand -delivery or by registered or certified U.S. Mail, return receipt requested, addressed to the other party at the address indicated herein or to such other address as a party may designate by notice given as herein provided. Notice shall be deemed given on the day on which personally delivered; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. TO THE HEALTH TRUST: Chief Executive Officer Public Health Trust of Miami -Dade County1611 N.W. 12th Avenue West Wing, Suite 117 Miami, FL 33136 Page 8 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB TO THE CITY: With a copy to: County Attorney's Office 1611 N.W. 12th Avenue West Wing, Suite 109 Miami, FL 33136 19. MISCELLANEOUS PROVISIONS: James Reyes City Manager, City of Miami 444 SW 2nd Avenue, 10th Floor Miami, FL 33130-1910 With Copies To: Department of Fire Rescue Attn: Robert Hevia Chief of Fire Rescue, City of Miami 1151 NW 7th Street 31" Floor Miami, FL 33136-3604 Office of the City Attorney Attn: George K. Wysong III City Attorney City of Miami 444 SW 2nd Avenue, 9th Floor Miami, FL 33130-1910 Procurement Department Attn: Annie Perez, CPPO Procurement Director 444 SW 2nd Avenue, 6th Floor Miami, FL 33130-1910 A. Governing Law; Venue; Attorneys' Fees: This Agreement shall be construed and enforced according to the laws of the State of Florida. Venue in any proceedings between the parties shall be in Miami -Dade County, Florida. Each party shall bear its own attorney's fees. Each party waives any defense, whether asserted by motion or pleading, that the aforementioned courts are an improper or inconvenient venue. Moreover, the parties consent to the personal jurisdiction of the aforementioned courts and irrevocably waive any objections to said jurisdiction. Each party shall bear their own respective attorney's fees in any dispute arising out of or in connection with this Agreement. B. Waiver: Waiver by either party of a breach or failure to perform hereunder shall not constitute a waiver of any subsequent breach or failure. Neither party will be bound by any purported rescission or modification of this Agreement and shall not be deemed to have waived any provisions of this Agreement unless such rescission, modification or waiver is set forth in writing and signed by an authorized official of both Parties. Nothing contained in this Agreement is any way intended to be a waiver of the limitation placed upon the Indemnitees' liability as set forth in Chapter 768, Florida Statutes. Additionally, the Indemnitees do not waive sovereign immunity, and no claim or award against the Indemnitees shall include attorney's fees, investigative costs or pre -judgment interest. Page 9 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB C. Waiver of Jury Trial: EACH PARTY WAIVES ITS RIGHTS TO A JURY TRIAL OF ANY CLAIM OR CAUSE OF ACTION ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY BREACH THEREOF. THIS WAIVER SHALL APPLY TO ANY SUBSEQUENT AMENDMENTS, SUPPLEMENTS, OR MODIFICATIONS TO THIS AGREEMENT. D. Acknowledgement: The Parties expressly acknowledge that each has read and understand each and every provision in this Agreement and have had the opportunity to seek the advice and representation of independent counsel. Furthermore, the Parties expressly acknowledge that this Agreement is entered into in good faith and was not obtained by fraud, misrepresentation, or deceit. E. Severabilitv: Should any provision, paragraph, sentence, word or phrase contained in this Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the City of Miami, such provision, paragraph, sentence, word or phrase shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable, then the same shall be deemed severable, and in either event, the remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect or limitation of its use. F. Entire Agreement; Modifications: This Agreement constitutes the sole and entire agreement between the parties hereto. No modification or amendment hereto shall be valid unless in writing and executed by properly authorized representatives of the parties hereto. Except as otherwise set forth in Section 2 above, the City Manager shall have the sole authority to extend, amend, or modify this Agreement on behalf of the City. All changes and/or modifications to this Agreement shall be approved in advance and in writing by the Office of the City Attorney as to legal form and correctness, and executed in writing by the City and the Health Trust. G. Paragraph Headings: The paragraph headings used in connection with this Agreement have been inserted for the convenience of the Parties only. They do not purport to and shall not be deemed to define, govern, limit, modify or in any manner, affect the scope, meaning or intent of the provisions to which they pertain. 20. SUCCESSORS AND ASSIGNS: This Agreement shall be binding upon the parties hereto, their heirs, executors, legal representatives, successors, or assigns, if any. 21. INDEPENDENT CONTRACTOR: The Health Trust has been procured and is being engaged to provide Services to the City as an Independent Health Trust, and not as an agent or employee of the City. Accordingly, neither the Health Trust, nor its employees, nor any sub- contractor(s) hired by the Health Trust to provide any Services under this Agreement shall attain, nor be entitled to, any rights or benefits under the Civil Service or Pension Ordinances of the City, nor any rights generally afforded classified or unclassified employees. The Health Trust further understands that Florida Workers' Compensation benefits available to employees of the City are Page 10 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB not available to the Health Trust, its employees, or any sub-contractor(s) hired by the Health Trust to provide any Services hereunder, and the Health Trust agrees to provide or to require sub- contractor(s) to provide, as applicable, workers' compensation insurance for any employee or agent of the Health Trust rendering Services to the City under this Agreement. The Health Trust further understands and agrees that the Health Trust's or sub-contractor(s) use or entry upon City properties shall not in any way change its or their status as an Independent Contractor. The Health Trust does not have the power or authority to bind the City in any promise, agreement, or representation other than specifically provided for in this Agreement. The Health Trust agrees and understands that (i) any and all subcontractors providing Services related to this Agreement shall be paid through the Health Trust and not paid directly by the City, and (ii) any and all liabilities regarding payment to or use of subcontractors for any of the Services related to this Agreement shall be borne solely by the Health Trust. 22. CONTINGENCY CLAUSE: Funding for this Agreement is contingent on the availability of funds and continued authorization for program activities and the Agreement is subject to amendment or termination due to lack of funds, reduction of funds, failure to allocate or appropriate funds, and/or change in applicable laws or regulations, upon thirty (30) days written notice to the Health Trust. 23. FORCE MAJEURE: A "Force Majeure Event" shall mean an act of God, act of governmental body or military authority, fire, explosion, power failure, flood, storm, hurricane, sink hole, other natural disasters, epidemic, riot or civil disturbance, war or terrorism, sabotage, insurrection, blockade, or embargo. In the event that either party is delayed in the performance of any act or obligation pursuant to or required by the Agreement by reason of a Force Majeure Event, the time for required completion of such act or obligation shall be extended by the number of days equal to the total number of days, if any, that such party is actually delayed by such Force Majeure Event. The party seeking delay in performance shall give notice in writing, within two (2) days of the Force Majeure Event, to the other party specifying the anticipated duration of the delay, and if such delay shall extend beyond the duration specified in such notice, additional notice shall be repeated no Tess than monthly so Fong as such delay due to a Force Majeure Event continues. Any party seeking delay in performance due to a Force Majeure Event shall use its best efforts to rectify any condition causing such delay and shall cooperate with the other party to overcome any delay that has resulted. 24. CITY NOT LIABLE FOR DELAYS: The Health Trust hereby understands and agrees that in no event shall the City be liable for, or responsible to the Health Trust or any sub-contractor(s), or to any other person, firm, or entity for or on account of, any stoppages or delay(s) in work herein provided for, or any damages whatsoever related thereto, because of any injunction or other legal or equitable proceedings or on account of any delay(s) for any cause over which the City has no control. 25. USE OF NAME: The Health Trust understands and agrees that the City is not engaged in research for advertising, sales promotion, or other publicity purposes. The Health Trust is allowed, within the limited scope of normal and customary marketing and promotion of its work, to use the Page 11 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB general results of this project and the name of the City. The Health Trust agrees to protect any confidential information provided by the City and will not release information of a specific nature without prior written consent of the City Manager or the City Commission. 26. NO CONFLICT OF INTEREST: The City shall be familiar and comply with all conflict of interest legal requirements, to the extent they apply to the City, including the Miami -Dade County Conflict of Interest and Code of Ethics Ordinance, Section 2-11.1, Code of Miami -Dade County, as made applicable to the Public Health Trust by Section 25A-3(c), Code of Miami -Dade County, and Florida's Code of Ethics for Public Officers, Chapter 112, Part III, Florida Statutes. The Health Trust will not contract or transact business with the City, and any contract with the City shall be void, if a conflict of interest under State or local laws occurs and neither an exemption nor opportunity to waive the conflict exists, or an opportunity to waive the conflict exists but the Health Trust does not waive it. If a conflict of interest is waivable, the Health Trust's Board of Trustees shall have the sole authority to waive the conflict. Copies of the ordinance are available on-line or may be furnished to the City upon request. Pursuant to City of Miami Code Section 2-611, as amended ("City Code"), regarding conflicts of interest, the Health Trust hereby certifies to the City that no individual member of the Health Trust, no employee, and no sub- contractor(s) under this Agreement nor any immediate family member of any of the same is also a member of any board, commission, or agency of the City. The Health Trust hereby represents and warrants to the City that throughout the term of this Agreement, the Health Trust, its employees, and its sub- contractor(s) will abide by this prohibition of the City Code. 27. NO THIRD -PARTY BENEFICIARY: No persons other than the Health Trust and the City (and their successors and assigns) shall have any rights whatsoever under this Agreement. 28. SURVIVAL: All obligations (including but not limited to indemnity and obligations to defend and hold harmless) and rights of any party arising during or attributable to the period prior to expiration or earlier termination of this Agreement shall survive such expiration or earlier termination. 29. TRUTH -IN -NEGOTIATION CERTIFICATION, REPRESENTATION AND WARRANTY: The Health Trust hereby certifies, represents and warrants to the City that on the date of the Health Trust's execution of this Agreement, and so long as this Agreement shall remain in full force and effect, the wage rates and other factual unit costs supporting the compensation to the Health Trust under this Agreement are and will continue to be accurate, complete, and current. The Health Trust understands, agrees and acknowledges that the City shall adjust the amount of the compensation and any additions thereto to exclude any significant sums by which the City determines the contract price of compensation hereunder was increased due to inaccurate, incomplete, or non -current wage rates and other factual unit costs. All such contract adjustments shall be made within one (1) year of the end of this Agreement, whether naturally expiring or earlier terminated pursuant to the provisions hereof. 30. ANTITRUST VIOLATOR VENDORS: Pursuant to Section 287.137, Florida Statutes, a person or an affiliate who has been placed on the Antitrust Violator Vendors List following a Page 12 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB conviction or being held civilly liable for an antitrust violation may not submit a bid, proposal, or reply on any agreement to provide any goods or services to a public entity; may not submit a bid, proposal, or reply on any agreement with a public entity for the construction or repair of a public building or public work; may not submit a bid, proposal, or reply on leases of real property to a public entity; may not be awarded or perform work as a grantee, supplier, subcontractor, or consultant under an agreement with a public entity; and may not transact new business with a public entity. 31. ANTI -HUMAN TRAFFICKING: The Health Trust confirms and certifies that it is not in violation of Section 787.06, Florida Statutes, and that it does not and shall not use "coercion" for labor or services as defined in Section 787.06, Florida Statutes. The Health Trust shall execute and submit to the City an Affidavit, of even date herewith, in compliance with Section 787.06(13), Florida Statutes, attached an incorporated herein as "Anti -Human Trafficking Affidavit". If The Health Trust fails to comply with the terms of this Section, the City may suspend or terminate this Agreement immediately, without prior notice, and in no event shall the City be liable to The Health Trust for any additional compensation or for any consequential or incidental damages. 32. COUNTERPARTS, ELECTRONIC SIGNATURES: This Agreement may be executed in counterparts, each of which shall constitute an original, but all of which, when taken together, shall constitute one and the same agreement. This Agreement may be executed in counterparts, each of which shall be an original as against either party whose signature appears thereon, but all of which taken together shall constitute but one and the same instrument. An executed facsimile or electronic scanned copy of this Agreement shall have the same force and effect as an original. The parties shall be entitled to sign and transmit an electronic signature on this Agreement (whether by facsimile, PDF or other email transmission), which signature shall be binding on the party whose name is contained therein. Any party providing an electronic signature agrees to promptly execute and deliver to the other parties an original signed Agreement upon request. 33. ENTIRE AGREEMENT: This instrument and its exhibits constitute the sole and only agreement of the parties relating to the subject matter hereof and correctly set forth the rights, duties, and obligations of each to the other as of its date. Any prior agreements, promises, negotiations, or representations not expressly set forth in this Agreement are of no force or effect. SIGNATURE PAGE FOLLOWS Remainder of page intentionally left blank Page 13 of 27 Docusign Envelope ID: E7CAB961-A186-4A69-88DB-F5F56DD881BB IN WITNESS WHEREOF. the parties hereto have executed this Agreement on the day and year first above written. ATTEST: By: Name: f ki'a4,-to) L ,no sq Title: Ck.ee.u4-Gte 1 (Corporate Seal) ATTEST: By: o<u5ignetl by: Todd Han nor% City Clerk HEALTH TRUST PUBLIC HEALTH TRUST OF 11MMIAMI-DADS COUNTY, an agency and instrumentality of Miami -Dade Count By. Carlos Migoya Name: Title: Chief Executive Officer CITY CITY OF MIAMI, Signed by: a Florida municipal corporation By: James Reyes City Manager APPROVED AS TO FORM AND APPROVED AS TO INSURANCE CORRECTNESS: REQUIREMENTS: By: �oe�esgeetlby ��� Attila (AIsow) III George K. Wysong III City Attorney Matter ID: 25-1038 r—oeces,geetl by By:� fide David Ruiz Risk Management interim Director Page 14 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB EXHIBIT A SCOPE OF SERVICES The City intends to secure medical direction services under a four (4) tier system as follows: TIER 1: MEDICAL DIRECTOR 1 CHIEF MEDICAL OFFICER A. The Health Trust shall designate an individual who will act as Medical Director and who shall have the following responsibilities, at a minimum: 1. Supervise and provide medical oversight for the medical performance of the City's Paramedics and Emergency Medical Technicians ("EMTs"), as required in Florida Statute § 401.265(2011), as amended; 2. Supervise and prescribe medical oversight to the City's Public Access Defibrillation ("PAD") Program. This shall include the issuance of Prescriptions for any automated external defibrillators ("AED") that is installed under the PAD Program; 3. Select physicians, described in Tiers 3 and 4, for 24 hour on-line medical control; 4. Ensure the satisfactory performance of Associate Medical Director Tiers 2 and 3, and the Tier 4 physicians; 5. Upon appropriate notice from the City, bar from further participation in the performance of medical direction services any lower tier physicians who fail to perform in a manner commensurate with the expectations of the City; 6. Develop and sign medically correct standing orders (treatment protocols) for Advanced Life Support ("ALS") and Basic Life Support ("BLS") care, and medically -related policies and procedures, and subsequently review such policies and procedures to ensure correctness at least every two (2) years; 7. Be available (or designate an alternate physician during periods of unavailability) 24 hours a day, 365 days a year, to answer system questions of an emergent or immediate nature that are beyond authority of the Tiers 3 and 4 physicians; by radio or mobile phone; 8. Provide medical oversight for and participate as a member of the City's Quality Management Program ("QMP") and Continuous Quality Improvement ("CQI") Committee for medically- related issues. Such participation shall require attendance at the monthly meeting; 9. Participate as a member of the Medical Priority Dispatch System's ("MPDS") Steering Committee and attend its meetings; 10. Be responsible for the City of Miami Emergency Operations Center (EOC) - ESF 8. Both Medical Director and Associate Medical Director shall be present at the EOC as required by the Fire Chief (The duration of which shall be determined by the Fire Chief or designee); 11. The City shall have the first right of refusal to staff the EOC with the Medical Director and Associate Medical Director. The City reserves the right to require their presence as necessary to support emergency operations; Page 15 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 12. The Medical Director and Associate Medical Director will receive the necessary rehabilitation periods during EOC deployment, documented and fulfilled per City policies and operational protocols; 13. Provide medical oversight for the City's MPDS Quality Assurance Program ("QAP") which monitors the dispatching of EMS units; and Specialty Teams, including. Dive team, Technical Rescue Team (TRT), HazMat, SWAT; 14. Attend and actively participate in a majority of the State of Florida's Quarterly EMS Meetings, particularly those meetings regarding the development of State policies and procedures, legislation and proposed legislation review, etc. Issue a report to the City on issues relevant to it; 15. Participate in an ongoing program of Paramedic/EMT continuing education; 16. Participate in the Infection Control Program and aid in the development of the program's policies and procedures; 17. Provide prescriptions and authorization for all medications and medical equipment, including controlled substances; 18. Obtain and maintain a Drug Enforcement Agency ("DEA") license for the City of Miami's Department of Fire -Rescue; 19. Develop and revise, when necessary, Trauma Transport Protocols to comply with the State of Florida requirements; 20. Evaluate and approve continuing education hours for re -certification of paramedics, EMTs, and Emergency Medical Dispatchers ("EMDs"); 21. Consult with the Department of Fire -Rescue on medically -related issues for EMS personnel (e.g. legal issues, policy development on issues such as, but not limited to: Dive Team, Technical Rescue Team or Hazardous Materials Team medical evaluations, etc.) on an as needed basis; 22. Fulfill all duties required of the Medical Director under Florida Statutes, Section 401.2701(2011), for the City of Miami Department of Fire Rescue - Miami Dade County Public Schools Emergency Medical Service Training Programs, including being actively involved with the evaluation of students' performance throughout the training program and, certifying that graduates have successfully completed all phases of the training program and are proficient in basic or advanced life support techniques, as applicable; and 23. Perform such other duties as may be negotiated or required. B. The Village of Key Biscayne, Florida receives its Medical Direction Services from the City of Miami. Therefore, the Medical Director shall have additional responsibilities relating to the needs of the Village of Key Biscayne's Department of Fire -Rescue. Medical Director must perform all services to Key Biscayne in the same manner as provided to the City, in addition to the following responsibilities: Page 16 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 1. Review of ALS incidents (report review and crew remediation if necessary) and completion of the Quality Assurance Form; 2. Review BLS incidents (report review and crew remediation if necessary); 3. Meet monthly with EMS Captain or Department Designee; and 4. Meet bi-annually with the Deputy Fire Chief. MINIMUM QUALIFICATIONS FOR MEDICAL DIRECTOR / CHIEF MEDICAL OFFICER The Medical Director must meet the following minimum qualifications: 1. Be a Florida licensed Medical Doctor ("M.D.") or Doctor of Osteopathy ("D.O."); 2. Board certified and residency trained in Emergency Medicine with a minimum of five (5) years' experience as a physician in an Emergency Department in the past five (5) years; 3. Possess an Advanced Cardiac Life Support ("ACLS") and Advanced Trauma Life Support ("ATLS") provider certification, be a Pediatric Advanced Life Support (PALS) provider; 4. Shall possess education and/or experience in EMS education; 5. Possess a minimum of five (5) years' experience as an EMS Medical Director in the State of Florida or five (5) years as an Assistant Medical Director in the State of Florida or (5) five years as an EMS Medical Director in a State other than Florida; 6. Be Drug Enforcement Administration (DEA) licensed for Schedule II, IV, and V controlled substances; 7. Satisfactorily fulfill all responsibilities and comply with all qualifications listed herein throughout the duration of the contract with the Health Trust; and 8. Must be available 24 hours/7 days a week by mobile phone or radio. TIER 2: ASSOCIATE MEDICAL DIRECTOR/ASSOCIATE CHIEF MEDICAL OFFICER The Health Trust and Chief Medical Officer/Medical Director shall designate an individual who will act as Associate Medical Director and who shall have the following responsibilities, at a minimum: 1. Report to EMS Medical Director /Chief Medical Officer; 2. Maintain familiarity with all equipment and medications carried on ALS units; all EMS protocols and policies; and, with federal, state, and local laws and administrative codes as they apply to EMS; Page 17 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 3. Be knowledgeable and maintain skills in Disaster Management and in local, federal, and state disaster response plans; participate in MCI drills with Miami Fire Rescue (MFR); 4. Serve as Acting Medical Director/Chief Medical Officer during the Medical Director/Chief Medical Officer's absence; 5. If the Associate Medical Director assumes the responsibilities and duties of the Medical Director for a continuous period of thirty (30) calendar days or more, they shall be entitled to receive the same compensation, benefits, and privileges as those afforded to the Medical Director. This adjustment shall be applied retroactively to the first day of assuming the role of Medical Director, provided that the thirty (30)-day threshold is met. 6. Shall be responsible for the City of Miami Emergency Operations Center (EOC) ESF-8. Both Medical Director and Associate Medical Director shall be present at the EOC as required by the Fire Chief. The duration of which shall be determined by the Fire Chief or designee; 7. Respond to EMS scenes with EMS crews for training and quality management; 8. Review and approve EMT recertification course content; 9. Investigate new EMS equipment or treatments for adoption by MFR; 10. Participate in ALS classroom teaching (lectures or procedural skills) and course development; 11. Participate in development and revision of EMS medical protocols; 12. Participate in education and evaluation of new recruits during their probationary period; 13. Participate in medical control radio coverage at The Health Trust's location; 14. Develop an EMS research project with the Medical Director; 15. Medical Oversight of Specialty Teams — Dive Team, Technical Rescue Team (TRT), HazMat, SWAT; 16. Assist Quality Management (QM) officers with periodic QM newsletter; 17. Participate in Hazardous Materials response planning; 18. Attend meetings for: a) EMS Equipment Committee; b) MFR Curriculum Committee 19. Attend the following meetings periodically: a) MFR CQI Committee meetings; b) FOAM-D EMS Subcommittee; and c) Area hospital meeting Page 18 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 20. Assist the Medical Director with the following: a) Liaison to local Emergency Departments on EMS issues; b) Participation in Continuous Quality Improvement program; c) Attendance and participation at State Bureau of EMS meetings; PAD Program; d) Orientation and assistance for Tier 4 Radio Physicians (residents); and e) Emergency Medical Dispatch oversight; MINIMUM QUALIFICATIONS FOR ASSOCIATE MEDICAL DIRECTOR/ASSOCIATE CHIEF MEDICAL OFFICER The Associate Medical Director/Associate Chief Medical Officer must meet the following minimum qualifications: 1. Be a Florida -licensed M.D. or D.O.; 2. Be a United States ("US") residency -trained and board certified in Emergency Medicine; 3. Be an Advanced Cardiac Life Support ("ACLS") certified and Advanced Trauma Life Support ("ATLS") and, Pediatric Advanced Life Support ("PALS") certified; 4. Possess a Minimum of five (5) years' experience in EMS -related duties; and 5. Satisfactorily fulfill all responsibilities and comply with all qualifications listed herein throughout the duration of the contract with the Health Trust. TIER 3: PRIMARY RESPONSE PHYSICIANS' GROUP (ON-LINE MEDICAL ADVISORS) The Health Trust shall designate a group of Primary Response Physicians (on-line Medical Advisors accessible by radio) who shall have the following responsibilities at a minimum: 1. Report to the Medical Director/Chief Medical Officer; 2. Monitor City of Miami Medical Channel radio traffic on a 24 hour per day, 365 days per year basis, either through direct radio response to each EMS call (no matter what the destination hospital), or by monitoring the Tier 4 physicians' response. Tier 3 Physicians shall have responsibility to immediately override any advice given by Tier 4 physicians that is not in accord with departmental protocols or standard of care for EMS; 3. Act in accordance with City EMS protocols, and medical policies and procedures; 4. Maintain a current knowledge of City EMS protocols and medical policies and procedures to the satisfaction of the Medical Director; duties; 5. Ride with City's EMS crew for a minimum of four (4) hours prior to assumption of Page 19 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 6. Train with the Medical Director for the period designated by the Medical Director prior to assumption of duties; 7. Develop knowledge in the operation of the City's EMS system prior to assumption of duties; and 8. Develop knowledge of the City's EMS protocols (standing orders) prior to assumption of duties. MINIMUM QUALIFICATIONS FOR THE PRIMARY RESPONSE PHYSICIANS' GROUP (ON- LINE MEDICAL ADVISORS} The Primary Response Physicians Group must meet each of the following minimum qualifications: 1. Be a Florida licensed M.D. or D.O.; 2. Be an Advanced Cardiac Life Support ("ACLS") Provider; and 3. Possess Active medical staff privileges at a hospital, within the corporate limits of the City of Miami. TIER 4: FIRST RESPONSE RADIO PHYSICIAN GROUP The Health Trust shall designate a group of First Response Radio Physicians who shall have the following responsibilities at a minimum: 1. Monitor and respond to City of Miami Medical Channel radio traffic on a 24 hour per day, 365 days per year basis, with medically appropriate orders, and be available by radio to on -scene EMS personnel as a resource for treatment and/or transportation questions of an immediate nature; 2. Train with the Medical Director prior to assumption of duties; 3. Be available during a tour of duty at a hospital within the jurisdiction of the City of Miami to answer questions from, and interact with, City of Miami Fire -Rescue EMS crews in reference to their duties; 4. Maintain a current knowledge of City EMS protocols and medical policies and procedures to the satisfaction of the Medical Director; 5. Develop knowledge in the operation of the City's EMS system prior to assumption of duties; and 6. Develop knowledge in the City's EMS protocols (standing orders) prior to assumption of duties. MINIMUM QUALIFICATIONS FOR THE FIRST RESPONSE RADIO PHYSICIAN GROUP The First Response Radio Physicians must meet each of the following minimum qualifications: Page 20 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 1. Possess active medical staff privileges, if individually licensed, or residency in good standing with an accredited training program, at a hospital within the corporate limits of the City of Miami; and 2. Possess a M.D. or D.O. with either an individual Florida Medical License or licensed under a hospital license for physicians in an accredited residency training program. Physicians in residence must have entered at least their Second (2nd) year of residency. ADDITIONAL DUTIES FOR THE HEALTH TRUST A. In addition to the foregoing, the Health Trust shall have the responsibility, at a minimum, to: 1. Remunerate the Medical Director, Associate Medical Director, and the physicians as per the fee proposal; 2. Schedule Tiers 3 and 4 physicians to ensure adequate coverage, and, prior to the first (1st) of every month, supply the City with a work schedule of the Tier 3 physicians for that month; 3. Document and supply education, training, and quality management for all physicians described in Tiers 3 and 4; 4. Provide such other administrative support, including office space, to Medical Director as may be required to perform the medical direction services. The Health Trust shall be responsible for maintenance of office space located in the Emergency Department. The office must be secure, private dedicated only for use by the Medical Director and Associate Medical Director. Provide the Medical Director and Associate Medical Director each with a portable computer and a desk top computer; 5. To the extent appropriate, support legal services such as: limited case review, as may be required by the Medical Director in the performance of their responsibilities. This includes consulting mechanism for ECG interpretation. The Health Trust shall maintain in real time electrical ECG transmission service for online medical consultation; and 6. Comply with the below listed requirements and all applicable Health Insurance Portability and Accountability Act of 1996 ("HIPAA") requirements as they pertain to Miami Fire - Rescue ("MFR") patients and those patient's medical records. B. The Health Trust, including their agents, servants, subcontractors and employees, shall carry out its obligations under this Interlocal Agreement in compliance with the privacy regulations of HIPAA as amended from time to time, and the regulations promulgated therein, in order to protect the privacy of all individually identifiable Protected Health Information ("PHI") that is created, received, collected, processed or learned as a result of the services provided pursuant to this Interlocal Agreement. In conformity therewith, the Health Trust shall agree that he/her and their agents, servants, subcontractors, and employees shall: 1. Not use or further disclose PHI except as permitted under this Interlocal Agreement or required by law; Page 21 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 2. Use appropriate safeguards to prevent use or disclosure of PHI except as permitted by this Interlocal Agreement and shall not use or further disclose PHI in a manner that would violate HIPAA's requirements if done by Miami Fire -Rescue; 3. As soon as reasonably practical, report to MFR any use or disclosure of PHI not provided for by this Interlocal Agreement of which The Health Trust becomes aware, and mitigate, to the extent possible, any harmful effect of such use or disclosure of PHI; 4. Ensure that any business associates, agents or subcontractors, to whom The Health Trust provides PHI, or who have access to PHI, agree to the same restrictions, terms, and conditions that apply to The Health Trust with respect to such PHI; 5. Make PHI available to MFR and to individuals who have a right of access to information under HIPAA; 6. Shall provide the City of Miami patient demographic information for purpose of billing; 7. Incorporate any amendments to PHI in accordance with HIPAA when notified to do so by MFR; and 8. Provide an accounting to the City's authorized representative of all uses or disclosures of PHI made by the Health Trust, in accordance with HIPAA, within sixty (60) days. C. At the termination or expiration of this Interlocal Agreement, The Health Trust shall return to MFR all PHI received, from or created or received by The Health Trust on behalf of MFR that The Health Trust still maintains in any form and shall not retain copies of such information. If such return is not feasible, The Health Trust shall continue to protect such PHI in accordance with this Interlocal Agreement and HIPAA, and must limit further uses and disclosures of such PHI for those purposes that made the return of such PHI not feasible. D. Except as otherwise limited in an Interlocal Agreement, The Health Trust may use or disclose PHI to perform functions, activities, or services for, or on behalf of, the City as specified in the Interlocal Agreement, provided that such use or disclosure would not violate HIPAA' s requirements if done by MFR. E. The Health Trust may, if necessary, use and disclose PHI for the proper management and administration of The Health Trust or to carry out the legal responsibilities of the Health Trust. However, in order to disclose PHI: 1. The disclosure must be required by law; or 2. The Health Trust must obtain reasonable assurances from the person to whom the information is disclosed that it will be held confidentially and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person; and 3. The person must notify The Health Trust of any instances of which it is aware in which the confidentiality of the information has been breached; Page 22 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 4. The Health Trust shall protect, defend, reimburse, indemnify, and hold the City, its' agents, employees and elected officers, harmless from and against all claims, liability, expense, loss, cost, penalties, damages or causes of action of every kind or character, including attorney's fees and costs, whether at trial or appellate levels or otherwise, arising as a result of any disclosure of protected health information due to the actions or inactions of the Health Trust. DUTIES OF THE CITY The City shall have the responsibility to: 1. Pay the Health Trust, as compensation for services, the negotiated dollar amount; 2. Ensure that all paramedical and Emergency Medical Technician personnel assigned to advanced life support vehicles are approved by the Medical Director/Chief Medical Officer and the Department of Fire- Rescue; 3. Provide the Medical Director/Chief Medical Officer a list of equipment carried on the advanced life support vehicles which shall be in accordance with the equipment required by regulations of the Department of Health and Chapter 401 of the Florida Statues; 4. Carry said equipment on all EMS vehicles used. In the event the Medical Director/Chief Medical Officer determines that the equipment listed does not meet the requirements of the regulations, the City agrees that it will immediately take the necessary action to bring the equipment carried on the advanced life support vehicles into compliance with the regulations; 5. Support the Medical Director/Chief Medical Officer by providing the personnel (paramedic, EMTs, EMDs), to support protocol development and review in conjunction with the Medical Director, and to provide Quality Assurance review in each division in keeping with regulations of the Department of Health, Florida Administrative Code 64-E, and Florida Statute 401. Necessary support positions to include those of Assistant Fire Chief of EMS, Deputy of EMS, Occupational Health RN, two full-time Paramedic Instructors, of two (2) full-time Quality Management ("QM") Officers, and sufficient training personnel to provide twenty- four (24) hours per week of medical educational support in addition to that provided by the Paramedic Instructor and QM Officers. In addition, a full-time Quality Assurance Officer for Emergency Medical Dispatch must be assigned, and sufficient part-time personnel for Quality Assurance reviews, dispatcher education, and other requirements to meet national certification standards of the Medical Priority Dispatch System. Assignment of specific support personnel is subject to the approval by a Selection Committee with Representatives from MFR Labor and Management. The Medical Director/Chief Medical Officer or their designee will be a part of this Selection Committee; 6. Provide and maintain a radio communication system that assures effective and un- interrupted radio communication capability between EMS personnel and the designated radio physician; 7. Support, to the extent appropriate, legal services such as limited case review as may be required by the Medical Director/Chief Medical Officer in the performance of their responsibilities; 8. Provide remote access to Fire -Rescue Computer Aided Dispatch ("CAD") and Records Management System ("RMS"); Page 23 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 9. Have the City of Miami Fire Rescue Chief or Designee to make the final decision on the selection of the Medical Director/Chief Medical Officer and the Associate Medical Director/Associate Medical Officer. The Fire Chief or Designee retains discretion to override minimum requirements and; 10. Provide the Medical Director and Associate Medical Director radios for communication, uniforms, and ID Badges. Additionally, provide secure hotspot Wi-Fi services. Page 24 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB EXHIBIT B COMPENSATION Upon execution, this fee proposal will remain unchanged for 5 years. Should this lnterlocal Agreement be extended on a month -to -month basis, the compensation may be revised by mutual agreement by the City and the Health Trust. EMS medical direction services will be provided by the Emergency Care Center of Jackson Memorial Hospital in consideration of the following: Year 1-5 $340,717 $327,779 $12,938 Contract Cost (Base Contract Fee) City of Miami component Village of Key Biscayne component All costs include the costs of staffing the Medical Director and positions at the levels outlined all administrative services, all facilities and materials necessary for the duties outlined, and all program supervision costs. Base Contract Year 1-5 Med. Director's Stipend, Miami (MFR) $164,622 Village of Key Biscayne (KBFR) $7,878 Sub -Total $172,500 Associate Medical Director Stipend, MFR $75,900 KBFR component $1,725 Sub -Total $77,625 Radio Physicians Stipend (Tier 3), MFR $77,570 KBFR component $3,022 Sub -Total $80,592 Miscellaneous Expenses Membership, travel expenses. Training materials, certifications, etc.) MFR $9,687 KBFR component $313 Sub -Total $10,000 Annual total MFR component $327,779 KBFR component $12,938 TOTAL $340,717 Page 25 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB EXHIBIT C Insurance Requirements Please refer to Section 15 of this Interfocal Agreement Page 26 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB EXHIBIT D CORPORATE RESOLUTIONS AND EVIDENCE OF QUALIFICATION TO DO BUSINESS IN FLORIDA (To be prov➢ded upon document execution) (if applicable) Page 27 of 27 Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881 BB ANTI -HUMAN TRAFFICKING AFFIDAVIT 1. The undersigned affirms, certifies, attests, and stipulates as follows: a. The entity is a non -governmental entity authorized to transact business in the State of Florida and in good standing with the Florida Department of State, Division of Corporations. b. The nongovernmental entity is either executing, renewing, or extending a contract (including, but not limited to, any amendments, as applicable) with the City of Miami ("City") or one of its agencies, authorities, boards, trusts, or other City entity which constitutes a governmental entity as defined in Section 287.138(1), Florida Statutes (2024). c. The nongovernmental entity is not in violation of Section 787.06, Florida Statutes (2024), titled "Human Trafficking." d. The nongovernmental entity does not use "coercion" for labor or services as defined in Section 787.06, Florida Statutes (2024), attached and incorporated herein as Exhibit Affidavit-1. 2. Under penalties of perjury, 1 declare the following: a. I have read and understand the foregoing Anti -Human Trafficking Affidavit and that the facts, statements and representations provided in Section 1 are true and correct. b. I am an officer or a representative of the nongovernmental entity authorized to execute this Anti - Human Trott eking Affidavit. Nongovernmental Entity: Public Healtb' Irrust of Miami -Dade County Name: Carlos Migoya / ! /, Officer Title: CEO Signature of Officer: Office Address: 1611 NW 12th Avert -, Miami, FL 33136 Email Address: Main Phone Number: FEIN No. / - / / / / / / STATE OF FLORIDA COUNTY OF MIAMI-DADE } } The foregoing instrument was sworn to and subscribed before me by means of physical presence or O online notarization, this 21,_ day of,4,-r 4-B1. by t taKJOShdi gvq 4i , as the authorized officer or representative for the nongovernmental entity.. He/she is sona y kno Ito me or has produced' as identification. (NOTARY PUBLIC SEAL) My Commission Expires: (Printed, Typed, or Stamped Name of Notary Public) a ``• MAFTTEE MANOAH Notary Public • State of Florida IF Commission at HH 707252 ,,.. My Comm, Expires Aug 25, 2029 Bonded through National Notary Assn. Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB EXHIBIT AFFIDAVIT-1 SECTION 787.06, FLORIDA STATUTES (2024) Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB Select Year: 2024 v The 2024 Florida Statutes Go Title Chapter 787 View Entire XLVI KIDNAPPING; CUSTODY OFFENSES; HUMAN TRAFFICKING; AND RELATED Chapter CRIMES OFFENSES 787.06 Human trafficking.-- (1)(a) The Legislature finds that human trafficking is a form of modern-day slavery. Victims of human trafficking are young children, teenagers, and adults. Thousands of victims are trafficked annually across international borders worldwide. Many of these victims are trafficked into this state. Victims of human trafficking also include citizens of the United States and those persons trafficked domestically within the borders of the United States. The Legislature finds that victims of human trafficking are subjected to force, fraud, or coercion for the purpose of sexual exploitation or forced labor. (b) The Legislature finds that while many victims of human trafficking are forced to work in prostitution or the sexual entertainment industry, trafficking also occurs in forms of labor exploitation, such as domestic servitude, restaurant work, janitorial work, sweatshop factory work, and migrant agricultural work. (c) The Legislature finds that traffickers use various techniques to instill fear in victims and to keep them enslaved. Some traffickers keep their victims under Lock and key. However, the most frequently used practices are less obvious techniques that include isolating victims from the public and family members; confiscating passports, visas, or other identification documents; using or threatening to use violence toward victims or their families; telling victims that they will be imprisoned or deported for immigration violations if they contact authorities; and controlling the victims' funds by holding the money ostensibly for safekeeping, (d) It is the intent of the Legislature that the perpetrators of human trafficking be penalized for their illegal conduct and that the victims of trafficking be protected and assisted by this state and its agencies. In furtherance of this policy, it is the intent of the Legislature that the state Supreme Court, The Florida Bar, and relevant state agencies prepare and implement training programs in order that judges, attorneys, law enforcement personnel, investigators, and others are able to identify traffickers and victims of human trafficking and direct victims to appropriate agencies for assistance. It is the intent of the Legislature that the Department of Children and Families and other state agencies cooperate with other state and federal agencies to ensure that victims of human trafficking can access social services and benefits to alleviate their plight. (2) As used in this section, the term: (a) "Coercion" means: 1. Using or threatening to use physical force against any person; 2. Restraining, isolating, or confining or threatening to restrain, isolate, or confine any person without lawful authority and against her or his will; 3. Using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined; 4. Destroying, concealing, removing, confiscating, withholding, or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification docurnent, of any person; 5. Causing or threatening to cause financial harm to any person; 6. Enticing or luring any person by fraud or deceit; or Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 7. Providing a controlled substance as outlined in Schedule I or Schedule II of s. 893.03 to any person for the purpose of exploitation of that person. (b) "Commercial sexual activity" means any violation of chapter 796 or an attempt to commit any such offense, and includes sexually explicit performances and the production of pornography. (c) "Financial harm" includes extortionate extension of credit, loan sharking as defined in s. 687.071, or employment contracts that violate the statute of frauds as provided in s. 725.01. (d) "Human trafficking" means transporting, soliciting, recruiting, harboring, providing, enticing, maintaining, purchasing, patronizing, procuring, or obtaining another person for the purpose of exploitation of that person. (e) "Labor" means work of economic or financial value. (f) "Maintain" means, in relation to labor or services, to secure or make possible continued performance thereof, regardless of any initial agreement on the part of the victim to perform such type service. (g) "Obtain" means, in relation to labor, commercial sexual activity, or services, to receive, take possession of, or take custody of another person or secure performance thereof. (h) "Services" means any act committed at the behest of, under the supervision of, or for the benefit of another. The term includes, but is not limited to, forced marriage, servitude, or the removal of organs. (i) "Sexually explicit performance" means an act or show, whether public or private, that is live, photographed, recorded, or videotaped and intended to arouse or satisfy the sexual desires or appeal to the prurient interest. (j) "Unauthorized alien" means an alien who is not authorized under federal taw to be employed in the United States, as provided in 8 U.S.C. s. 1324a(h)(3). The term shall be interpreted consistently with that section and any applicable federal rules or regulations. (k) "Venture" means any group of two or more individuals associated in fact, whether or not a legal entity. (3) Any person who knowingly, or in reckless disregard of the facts, engages in human trafficking, or attempts to engage in human trafficking, or benefits financially by receiving anything of value from participation in a venture that has subjected a person to human trafficking: (a)1. For tabor or services of any child younger than 18 years of age or an adult believed by the person to be a child younger than 18 years of age commits a felony of the first degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. 2. Using coercion for labor or services of an adult commits a felony of the first degree, punishable as provided in s. 775.082, s. 775,083, or s. 775.084. (b) Using coercion for commercial sexual activity of an adult commits a felony of the first degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. (c)1. For labor or services of any child younger than 18 years of age or an adult believed by the person to be a child younger than 18 years of age who is an unauthorized alien commits a felony of the first degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. 2. Using coercion for labor or services of an adult who is an unauthorized alien commits a felony of the first degree, punishable as provided in s. 775,082, s. 775.083, or s. 775.084. (d) Using coercion for commercial sexual activity of an adult who is an unauthorized alien commits a felony of the first degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. (e)1. For labor or services who does so by the transfer or transport of any child younger than 18 years of age or an adult believed by the person to be a child younger than 18 years of age from outside this state to within this state commits a felony of the first degree, punishable as provided in s. 775,082, s. 775.083, or s. 775.084. 2. Using coercion for tabor or services who does so by the transfer or transport of an adult from outside this state to within this state commits a felony of the first degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. (f)1. For commercial sexual activity who does so by the transfer or transport of any child younger than 18 years of age or an adult believed by the person to be a child younger than 18 years of age from outside this state to within this state commits a felony of the first degree, punishable by imprisonment for a term of years not exceeding life, or as provided in s. 775.082, s. 775.083, or s. 775.084. Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB 2. Using coercion for commercial sexual activity who does so by the transfer or transport of an adult from outside this state to within this state commits a felony of the first degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. (g) For commercial sexual activity in which any child younger than 18 years of age or an adult believed by the person to be a child younger than 18 years of age, or in which any person who is mentally defective or mentally incapacitated as those terms are defined in s. 794.011(1), is involved commits a life felony, punishable as provided in s. 775.082(3)(a)5., s. 775.083, or s. 775.084. For each instance of human trafficking of any individual under this subsection, a separate crime is committed and a separate punishment is authorized. (4)(a) Any parent, legal guardian, or other person having custody or control of a minor who sells or otherwise transfers custody or control of such minor, or offers to sell or otherwise transfer custody of such minor, with knowledge or in reckless disregard of the fact that, as a consequence of the sale or transfer, the minor will be subject to human trafficking commits a life felony, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. (b) Any person who, for the purpose of committing or facilitating an offense under this section, permanently brands, or directs to be branded, a victim of an offense under this section commits a second degree felony, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. For purposes of this subsection, the term "permanently branded" means a mark on the individual's body that, if it can be removed or repaired at all, can only be removed or repaired by surgical means, laser treatment, or other medical procedure. (5) The Criminal Justice Standards and Training Commission shalt establish standards for basic and advanced training programs for law enforcement officers in the subjects of investigating and preventing human trafficking crimes. Every basic skills course required for law enforcement officers to obtain initial certification must include training on human trafficking crime prevention and investigation. (6) Each state attorney shall develop standards of instruction for prosecutors to receive training on the investigation and prosecution of human trafficking crimes and shall provide for periodic and timely instruction. (7) Any real property or personal property that was used, attempted to be used, or intended to be used in violation of this section may be seized and shall be forfeited as provided by the Florida Contraband Forfeiture Act. After satisfying any liens on the property, the remaining proceeds from the sate of any property seized under this section and owned by a defendant convicted of a violation of this section must first be allocated to pay any order of restitution of a human trafficking victim in the criminal case for which the owner was convicted. If there are multiple human trafficking victims in the criminal case, the remaining proceeds must be allocated equally among the victims to pay restitution. If the proceeds are sufficient to pay any such order of restitution, any remaining proceeds must be disbursed as required by s. 932.7055(5)-(9). (8) The degree of an offense shall be reclassified as follows if a person causes great bodily harm, permanent disability, or permanent disfigurement to another person during the commission of an offense under this section: (a) A felony of the second degree shall be reclassified as a felony of the first degree. (b) A felony of the first degree shall be reclassified as a life felony. (9) In a prosecution under this section, the defendant's ignorance of the victim's age, the victim's misrepresentation of his or her age, or the defendant's bona fide belief of the victim's age cannot be raised as a defense. (10)(a) Information about the location of a residential facility offering services for adult victims of human trafficking involving commercial sexual activity, which is held by an agency, as defined in s. 119.011, is confidential and exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution. This exemption applies to such confidential and exempt information held by an agency before, on, or after the effective date of the exemption. (b) Information about the location of a residential facility offering services for adult victims of human trafficking involving commercial sexual activity may be provided to an agency, as defined in s. 119.011, as necessary to maintain health and safety standards and to address emergency situations in the residential facility. (c) The exemptions from s. 119.07(1) and s. 24(a), Art. I of the State Constitution provided in this subsection do not apply to facilities licensed by the Agency for Health Care Administration. Docusign Envelope ID: E7CAB961-A18B-4A69-88DB-F5F56DD881BB (11) A victim's lack of chastity or the willingness or consent of a victim is not a defense to prosecution under this section if the victim was under 18 years of age at the time of the offense. (12) The Legislature encourages each state attorney to adopt a pro -prosecution policy for human trafficking offenses, as provided in this section. After consulting the victim, or making a good faith attempt to consult the victim, the state attorney shall determine the filing, nonfiling, or diversion of criminal charges even in circumstances when there is no cooperation from a victim or over the objection of the victim, if necessary. (13) When a contract is executed, renewed, or extended between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services as defined in this section. For purposes of this subsection, the term "governmental entity" has the same meaning as in s. 287.138(1). History.—s. 2, ch. 2004-391; s. 1, ch. 2006-168; s. 5, ch. 2012-97; s. 300, ch. 2014-19; s. 7, ch. 2014-160; s. 96, ch. 2015-2; 5. 2, ch. 2015-147; s. 3, ch. 2016-24; s. 25, ch. 2016-105; s. 4, ch. 2016-199; s. 2, ch. 2020-49; s. 2, ch. 2021.189; s. 3, ch. 2023-86; s. 7, ch. 2024- 184. Copyright © 1995-2024 The Florida Legislature • Privacy Statement • Contact Us Jackson Health System Policy No. 248 Jackson [IIL%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation Table of Contents I. Purpose 4 II. Declaration of Intent and Scope 4 A. Authority and Effect 4 B. Application of this Regulation 4 III. Definitions 5 IV. Procurement Organization 9 A. Division of Strategic Sourcing and Supply Chain Management 9 B. Chief Procurement Officer 9 V. Procurement of Goods and Services 9 A. Methods of Source Selection 9 B. Small Purchases 10 C. Invitations to Bid 10 D. Requests for Proposals/Qualifications 11 E. Revenue Generating and Concession Contracts 11 F. Cooperative Purchasing 11 G. Group Purchasing Organizations 12 VI. Procurement of Construction, Design and Engineering Services 12 A. Jackson Health System Capital Expedite Program 12 B. Construction 12 C. Design and Engineering Services 13 D. Sales Tax Exemption Program for County Construction Contracts 13 VII. Waiver of Formal Competition 13 A. Non -Competitive Procurement 13 B. Emergency Procurement 14 C. Architectural, Engineering and Other Services Covered by the Consultants' Competitive Negotiation Act 14 VIII. Process 15 A. Purchase Requisitions 15 B. Responsibility of Bidders and Offerors 15 C. Selection Committees 15 D. Pre -qualification 16 E. Cancellation of Invitations to Bid or Requests for Proposals 16 F. Electronic Commerce 16 G. Unauthorized Purchases 17 IX. Legacy Systems 17 X. Bid Protests 17 Revised: 05/23/2025 Supersedes: 12/20/2023 Page 1 of 37 Jackson Health System Policy No. 248 Jackson [IIL%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation A. Purpose 17 B. Process 17 C. Fee Schedule 18 XI. Reports 19 A. Purchasing Report 19 B. Other Procurement Reports 20 C. Notices 20 XII. Contracts 20 A. Contract Award 20 B. Written Contract 21 C. Contract Renewal/Extension 21 D. Change Orders and Contract Modifications, including Renewals 22 E. Contract Termination 22 F. Contract Execution 22 XIII. Specifications 23 A. Preparing Specifications 23 B. Value Analysis Team 23 XIV. Risk Management 23 A. Bid Security 23 B. Performance and Payment Bonds 23 C. Indemnification 23 D. Insurance Requirements 23 XV. Authority to Debar or Suspend 23 A. Authority to Debar or Suspend 23 B. Causes for Debarment or Suspension 24 C. Suspension 24 D. Request for Hearing 25 E. Hearing 25 F. Decision 25 G. Appeal 25 H. Debarment by Other Public Entities 25 I. Maintenance of List of Debarred and Suspended Persons 25 XVI. Socio-Economic Programs 26 A. Small Business Enterprise Goods and Services Programs 26 B. Small Business Enterprise Construction Services Program 28 C. Small Business Enterprise Architecture and Engineering Program 28 Revised: 05/23/2025 Supersedes: 12/20/2023 Page 2 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation D. Preference to Local Business and Local Certified Veteran Business Enterprises in Trust Contracts 29 E. Fair Subcontracting Practices 29 F. Responsible Wages and Benefits for County Construction Contracts 29 G. Living Wage Ordinance 30 H. Drug -Free Workplace 30 I. Nondiscrimination 30 J. Community Workforce Program for County Construction Contracts 30 K. Residents First Training and Employment Program for County Construction Contracts 30 XVI I. Ethics 30 A. Regulation 30 B. Definitions 31 C. General Standards of Ethical Conduct 31 D. Conflict of Interest 31 E. Kickbacks 32 F. Bids from Related Parties 32 G. Contractor Fraud, Misrepresentation or Material Misstatement 32 H. Use of Confidential Information 32 I. Lobbying 33 J. Cone of Silence 33 K. Procurement Integrity 33 L. Recovery of Value Transferred or Received in Breach of Ethical Standards 33 XVIII. Acceptance of Gifts from Jackson Memorial Foundation 34 A. Purpose 34 B. Definition 34 C. Applicable Statutes, Ordinances and Policies 34 D. Role of Trust Officials 34 E. Acceptance 35 F. Goods and Services 36 G. Construction 36 H. In -Kind Donations 36 XIX. Hospital -Based Physician Services 36 A. Definition 36 B. Exemptions 37 C. Source Selection 37 D. Contract Award 37 XX. References 37 Revised: 05/23/2025 Supersedes: 12/20/2023 Page 3 of 37 Jackson Health System Policy No. 248 Jackson [IIL%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation PART A. PROCUREMENT I. Purpose The purpose of this Regulation is to govern the procurement of goods, services and construction, including professional services, for the Public Health Trust ("Trust") who owns and operates Jackson Health System ("JHS"). This Regulation is advisory in that it is intended to provide guidance to Trust staff in the conduct of an orderly administrative process. Deviations from this Regulation shall not constitute grounds for protest or appeal by the persons affected by the activity at issue. It is the policy of the Trust to promote competition and transparency in public procurement. The Trust aims to provide equal access and opportunity to all suppliers and to facilitate nondiscriminatory business relationship by promoting, increasing and improving the diversity of vendors within the supply chain. All employees of the Trust, including, but not limited to, those specifically identified in this Regulation are directed to advance this Regulation. II. Declaration of Intent and Scope A. Authority and Effect Public Health Facilities - Section 154.11, Florida Statutes, as amended; Sections 4.02 and 5.03(D), Miami -Dade County Charter; Public Health Trust - Chapter 25A, Code of Miami -Dade County; and Public Health Trust Procurement Policy Resolution. This Procurement Regulation supersedes and repeals the prior Public Health Trust Procurement Regulation and departmental rules and guidelines that may be contrary. Application of this Regulation 1. This Regulation shall apply to all contracts for public improvements and the purchase of all goods and services, including professional services, made by the Trust, irrespective of the source of funds, except as otherwise provided by law. 2. Exclusions. This Regulation does not apply to: a. The purchase, lease or rental of real property and related licenses; b. Contracting by the Managed Care Division for providers of managed care services; c. Contracting by the JMH Foundation; d. Clinical Agency Agreements, inclusive of Hospital Based Physician Services as defined in this Regulation; e. Services provided by Miami -Dade County; f. Operating and/or Affiliation Agreements with Teaching Facilities, Universities and/or Healthcare Systems; g. Agreements for exclusive Laboratory Reagents with Universities and/or Healthcare Systems; h. Agreements for the Re -hire of Trust employees as independent consultants to meet specialized needs and Ambassador Agreements for JMH International; i. Dues, memberships and registration fees and associated membership materials in trade and professional organizations j. Sponsorships and donations with non -for -profit organizations; k. Fees and costs of job -related educational seminars and trainings for JHS employees; I. Subscriptions for periodicals, including educational material for JHS employees; m. Advertisements; n. Postage; o. Utility Services; Revised: 05/23/2025 Supersedes: 12/20/2023 Page 4 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation p. Employee expense reimbursement including travel, training, petty cash and/or relocation; q. Reimbursable employee candidate travel expense; r. Organ acquisition, registry, surgeon, physician and transplantfees; s. Payments required by Ordinance, Statute, Interlocal or Interdepartmental Agreements; t. Payments required for accreditation and/or certification. u. Entertainers, performers, speakers, and works of art; v. Trust -sponsored events at hotels, motels, restaurants, or other similar venues. w. Risk management settlements; x. Services provided by Expert Consultants including, but not limited to, those rendered by arbitrators, hearing officers, experts, and counsel retained or obtained by the County Attorney's Office on behalf of the Trust and other legal fees; y. Trust and Grant Agreements; z. Lobbyist Service Agreements; aa. Marketing Service Agreements; bb. Banking Services and/or Credit Card Merchant Service Agreements; cc. Gift cards; dd. Emergency procurements initiated by the Executive Office under$100,000; ee. All one-time non -recurring purchases of $7,500orless; 3. Direct Payment. All Exclusions as stated in Section B2 above shall be considered appropriate for direct payment. III. Definitions The following words, terms and phrases defined in this Regulation shall have the meanings set forth below whenever they appear in this Regulation, except where: i. the context in which they are used clearly requires a different meaning; or ii. a different definition is prescribed for a particular Section orprovision. The words, terms and phrases defined in this Regulation shall be interpreted to include either the singular or the plural where applicable. Words not defined shall be given the meaning provided under their common and ordinary meaning unless the context suggests otherwise. Additional Service Allowance means a predetermined dollar amount or percentage of a contract for architectural, engineering, landscape architectural, or survey and mapping services held for unpredictable changes in the project. Award means the acceptance by the Trust of a vendor's offer which formalizes a contract, which may include, as applicable: i. the decision by the Board to accept a contractor's bid, proposal or offer; ii. the authorization of the CEO or designee by the Board to execute a contract on behalf of the Trust; or iii. the decision by the Chief Procurement Officer to accept a contractor's bid, proposal or offer by execution of a contract or issuance of a purchaseorder. Bid means an offer submitted by a vendor in response to an Invitation to Bid issued by the Trust. Board means the governing board of the Public Health Trust. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 5 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation Business Day_means Mondays through Fridays, excluding legal holidays as recognized by Miami -Dade County government. Change Order means a written alteration to a contract or purchase order, executed by the Chief Procurement Officer, in accordance with the terms of the contract, unilaterally directing the contractor to make changes. Clinical Agency Agreement means a strategic relationship between a physician or group of physicians and the Trust, which may or may not involve the purchase of assets of the physician practice or a management services agreement. Construction means the building, renovating, retrofitting, rehabbing, restoration, painting, altering or repairing of a public improvement. Contingency Allowance means a predetermined dollar amount or percentage of a contract for construction held for unpredictable changes in the project. Contract means all types of Trust agreements, regardless of what they may be called, authorized under this Regulation for the procurement of goods, services or construction. Contract Documents means an agreement between an owner and contractor for construction, conditions of the contract, drawings, specifications, change orders, contract modifications and any other documents referenced therein. For the purpose of this definition, "Owner" shall mean the Public Health Trust or the Jackson Memorial Foundation providing a public improvement to support the Trust. Contract Modification means any written alteration in specifications, delivery point, rate of delivery, period of performance, price, quantity, or other provisions of any contract accomplished by mutual action of the parties to the contract. Contractor means any person having a contract with the Trust. Dedicated Allowance_ means a fixed sum for a specific portion of the work determined by the architect/engineer in advance of bidding to be used by all bidders in their bids or proposals. Director, Supplier Diversity and Small Business Enterprise Program means any individual appointed by the Chief Procurement Officer to administer the Small Business Enterprise Program on behalf of the Trust. Electronic Signature means a manual or electronic identifier or the electronic result of an authentication technique attached to or logically associated with a record that is intended by the person using it to have the same full force and effect as manual signature [Florida Statutes, Chapter 668, Part I, The Electronic Signature, Act of 1996, as amended]. Emergency Procurement means a purchase based upon an unexpected turn of events that causes an immediate danger to public health and safety; an immediate danger of loss of public property or an interruption in the delivery of an essential government service; or when the time required to complete a competitive process authorized by this Regulation would create an adverse economic or operational impact upon the Trust compromising the delivery of services to Trust patients including, but not limited to, the loss of grant funding, lost revenues or non- compliance with regulatory requirements. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 6 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation Expert Consultant means an individual(s) or firm acting as independent contractors retained or obtained by the County Attorney's Office or the CEO, or designee on a contract basis with a specific term for the purpose of performing specialized defined tasks that require knowledge, skills and training not otherwise available to the Trust by temporary or permanent members of the classified or unclassified service and which tasks, by their nature, require independent and autonomous judgment. Contracts for services provided by Expert Consultants exceeding $250,000 shall be approved by the Board. Goods means all personal property, medical or non -medical in nature, including, but not limited to, equipment, materials, pharmaceuticals, printing and insurance; excludes services and real property. Group Purchasing Organization (GPO) means an entity that aggregates the purchasing volume of members, such as hospitals and other health-care providers, to leverage discounts with manufacturers, distributors and other vendors and to realize administrative savings and efficiencies. Invitation to Bid (ITB) means all documents, whether attached or incorporated by reference, utilized for soliciting bids in excess of the dollar thresholds established for small purchases. Legacy System means a system including, but not limited to, computer software, licenses, computer hardware, and biomedical equipment that are fully integrated into the daily operations of one or more departments or are considered strategic in nature or are unique to the producer, manufacturer, distributor and/or provider. Option to Renew means an option in a contract that allows the Trust to unilaterally continue the contract for an additional term. Person includes individuals, firms, associations, joint ventures, partnerships, estates, trusts, business trusts, syndicates, fiduciaries, corporations, and all other groups, entities or combinations. Procurement means buying, purchasing, renting, leasing, or otherwise acquiring any goods, services or construction within the scope of this Procurement Regulation. It also includes all functions that pertain to the obtaining of any supply, service or construction, including, but not limited to, description of requirements, selection and solicitation of sources, preparation and award of contracts, and all phases of contract administration. Procurement Directors means the Sr. Director of Procurement Services and/or the Director of Procurement Construction Services as appointed by the Chief Procurement Officer. Procurement Officer/Specialist means any person duly authorized by the CEO or Chief Procurement Officer to manage the procurement process and administer contracts and make written determinations or recommendations with respect thereto. Professional Services mean (a) any type of personnel service which requires as a condition precedent to the rendering of such service the obtaining of a license or other legal authorization; (b) services, the value of which is substantially measured by the professional competence of the person performing them, and which are not susceptible to realistic competition by cost of services alone; and (c) services rendered by members of a recognized profession or persons Revised: 05/23/2025 Supersedes: 12/20/2023 Page 7 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation possessing a specialized skill. Such services are generally acquired to obtain information, advice, training or directassistance. These services shall include, but not be limited to, services customarily rendered by, auditors, accountants, software and system applications, electronic, technology, technical and management consultants, appraisers, and medical -related providers. Proposal means an executed document submitted by an offeror in response to a Request for Proposals to be used as the basis for negotiations for entering into a contract. Public Improvement means a project for construction, reconstruction or renovation on real property operated and maintained by the Trust, whether permanent or not, especially one that increases its value or utility or that enhances its appearance. Public Notice means the distribution or dissemination of information to interested parties using methods that are reasonably available. Such methods may include publication in newspapers of general circulation, electronic or paper mailing lists, and Internet site(s) designated by the Trust and maintained for that purpose. Public Procurement Unit means any unit or association of units of federal, state or local government; any public authority which has the power to tax; any public entity created by statute; or any entity which expends public funds for the procurement of goods, services or construction. Regulation means this Regulation or procedure that is made part of the Trust's Administrative Policy and Procedure Manual which can be revised at the discretion of the CEO, or CEO's designee. Release Order means an authorization given to a supplier to furnish a specified quantity of goods or services against an established contract. Request for Proposals (RFP) means all documents, whether attached or incorporated by reference, utilized for soliciting competitive sealed proposals. Request for Qualifications (RFQ) means all documents, whether attached or incorporated by reference, utilized for soliciting competitive sealed proposals without considering price. Responsible Bidder or Offeror means a person who has the capability in all respects to perform fully the contract requirements, and the integrity and reliability which will assure good faith performance. Responsive Bidder means a person who has submitted a bid that conforms in all material respects to the solicitation. Reverse Auction means a procurement method wherein bidders, anonymous to each other, electronically submit real-time bids on designated goods and services. Services mean the furnishing of labor, time, or effort by a contractor. Specifications mean any description of the physical or functional characteristics, or the nature of a supply, service, or construction item. It may include a description of any requirement for inspecting, testing, or preparing a supply, service, or construction item for delivery. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 8 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation Term Contract means an indefinite quantity contract to furnish goods or services for a specified period of time at agreed upon unit price(s). Work means the construction and services required by the contract documents for a public improvement, whether completed or partially completed, and includes all other labor, materials, equipment and services provided or to be provided by the contractor to fulfill the contractor's obligations. IV. Procurement Organization A. Division of Strategic Sourcing and Supply Chain Management 1. There is hereby created the Division of Strategic Sourcing of the Public Health Trust (the "Division"), headed by a Senior Vice President. The Procurement Management Department within the Division shall be responsible for the procurement of goods and services including construction, and professional services, on behalf of the Trust in accordance with this Regulation. B. Chief Procurement Officer 1. The CEO, or CEO's designee, shall appoint the Senior Vice President of the Division who shall be the Trust's Chief Procurement Officer. The Chief Procurement Officer shall perform the duties of the principal public purchasing official for the Trust and shall be responsible for the procurement of goods, services, materials and construction in accordance with this Regulation and such other duties as assigned. The Chief Procurement Officer shall: a. Procure or supervise the procurement of all public improvements, goods, materials, and services, including professional services, needed by the Trust; b. Solicit and advertise for bids and proposals for public improvements, goods, materials and services, including professional services, without the need for action by the Board; c. Establish and maintain programs for the inspection, testing, and acceptance of goods, services, and construction; and d. Ensure compliance with this Regulation by reviewing and monitoring procurements conducted by any person to whom he or she has delegated authority under this Regulation. 2. The Chief Procurement Officer may delegate the authority assigned or delegated by this Regulation to designees in writing. V. Procurement of Goods and Services A. Methods of Source Selection 1 The Chief Procurement Officer shall select the method of solicitation based on the application of the guidelines set forth in this Regulation. Unless otherwise authorized by law, Trust contracts shall be awarded in accordance with one of the following methods: a. Small Purchases; b. Invitations to Bid; c. Requests for Proposals/Qualifications; d. Revenue Generating and Concession Contracts; e. Cooperative Purchasing; or f. Group Purchasing Organizations; Revised: 05/23/2025 Supersedes: 12/20/2023 Page 9 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation B. Small Purchases 1. Any procurement of goods and services, including professional services, not exceeding an aggregate total of $250,000, including all renewal and extension options may be made in accordance with the small purchase procedures. 2. Where goods, services or construction items may be obtained under current Trust contracts priority shall be given to purchases under these contracts to promote product standardization. 3. Competition for Small Purchases under$10,000 a. Verbal or written competition for small purchases under $10,000 is at the discretion of the Procurement Officer/Specialist. The Procurement Officer/Specialist shall endeavor to maximize the utilization of Small Business Enterprises on such purchases. 4. Competition for Small Purchases between $10,000 and$25,000 a. In the purchase of goods or services estimated to cost between $10,000 and $25,000, no less than three (3) vendors shall be solicited to submit verbal or written quotations. The Procurement Officer/Specialist shall endeavor to receive a minimum of two quotations in order to move forward with Award. If fewer than two quotations are received, the Procurement Officer/Specialist shall document the Award file with the reasonable efforts made. Award shall be made to the vendor offering the lowest acceptable quotation. The Trust shall at all times adhere to the requirements of this Regulation relating to Small Business Enterprises. b. A record of each quotation shall be recorded and maintained as a public record. The record shall include, as applicable, the vendor number (if registered), vendor name, address, telephone number and contact person; the unit and extended price for each item quoted, the delivery time, payment terms and delivery terms; the name of the Trust employee soliciting the verbal quotation. 5. Written Competition for Small Purchases in excess of$25,000 a. In small purchases of goods and services estimated to cost over $25,000, no less than three (3) vendors shall be solicited to submit written quotations. A request for quotations shall be issued and shall include specifications and all contractual terms and conditions applicable to the procurement. Quotations shall be submitted in writing. Award shall be made to the lowest responsive and responsible vendor according to the criteria set forth in the request for quotations. The Trust shall at all times adhere to the requirements of this Regulation relating to Small Business Enterprises. 6. Informal Requests for Proposals a. Any procurement that is estimated not to exceed $250,000 and in the best interest of the Trust may be made by an evaluation of factors other than price and may be informally solicited. The Procurement Management Department may solicit written proposals from no less than three (3) potential vendors through a Request for Proposals. The Procurement Director(s) may award a contract to the offeror whose proposal is determined most advantageous to the Trust in accordance with the criteria set forth in the solicitation. The Procurement Director(s) may solicit the advice of Trust technical, professional and the County Attorney's Office. Convening of a selection committee is not required. C. Invitations to Bid 1. When the estimated amount of the procurement exceeds $250,000 and the good or service procured may be properly evaluated on the basis of price as the determining factor, the Chief Procurement Officer shall issue an Invitation to Bid. 2. Low Tie Bids a. Low tie bids are low responsive bids from responsible bidders that are identical in price after appropriate application of all price adjustments, such as those for a Small Revised: 05/23/2025 Supersedes: 12/20/2023 Page 10 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation Business Enterprise or local business, and that meet all the requirements and criteria set forth in the Invitation to Bid. Low tie bids shall be evaluated and resolved based upon the application of the following tie breakers in order of precedence: i. if the bidder is a small business enterprise, as applicable, as certified by Miami - Dade County; ii. if the bidder is a local business as defined in Section 2-8.5 of the Miami -Dade County Code, as amended; iii. if the Chief Procurement Officer determines that selection of a particular bidder or bidders is in the best interests of the Trust because of product, service, delivery, qualifications or past performance; or iv. by drawing lots 3. Determination of Lowest Bidder a. Bids will be evaluated to determine which bidder offers the lowest cost to the Trust in accordance with the evaluation criteria set forth in the Invitation to Bid. b. Only objectively measurable criteria shall be applied in determining the lowest bidder. Examples of such criteria include, but are not limited to, discounts, transportation costs, and ownership or life cycle cost formulas. D. Requests for Proposals/Qualifications 1. The Trust shall use a Request for Proposals or Qualifications when the purposes and uses for which the commodity or contractual service being sought can be specified and the Trust is capable of identifying necessary deliverables, the good or service procured may not be properly evaluated on the basis of price alone as a determining factor, and the estimated amount of the procurement exceeds $250,000. Examples of solicitations which may be made a Request for Proposals or Qualifications include, but are not limited to, the following: a. Procurement of Professional Services, defined in this Regulation. b. Procurement of construction manager -at -risk, design -build and job order contract project delivery methods specified in Section VI. (Procurement of Construction, Design and Engineering Services); c. Procurement of high technology, electronic, software, and system applications that are available from a limited number of sources. 2. Award shall be made to the responsible offeror whose proposal is determined to be the most advantageous to the Trust taking into consideration price and the evaluation factors set forth in the Request for Proposals. No other factors or criteria shall be used in the evaluation. The recommendation of the selection committee shall be submitted to the Chief Procurement Officer. The Chief Procurement Officer may approve, reject or ask the selection committee to re-evaluate proposals. The Chief Procurement Officer shall be authorized to proceed with the award or reject all bids. E. Revenue Generating and Concession Contracts 1. Revenue generating and concession contracts shall be awarded in accordance with the provisions of this Regulation. 2. Price shall be evaluated on the basis of the highest return to the Trust as defined within the solicitation document. F. Cooperative Purchasing 1. The Trust may participate in, sponsor, conduct, or administer a cooperative purchasing agreement for the procurement of goods, services or construction with one or more Public Procurement Units in accordance with an agreement entered into by the participants. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 11 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation 2. Such cooperative purchasing may include, but is not limited to, joint or multi -party contracts between public procurement units and open-ended public procurement unit contracts that are made available to other entities. 3. All cooperative purchasing conducted under this Section shall be through contracts awarded though full and open competition, including use of source selection methods substantially equal to those set forth in this Regulation. Purchasing conducted under this Section shall not constitute a waiver of formal competition. 4. Subject to the provisions of the cooperative purchasing contract, the Chief Procurement Officer may conduct negotiations with a supplier regarding terms and conditions, including the addition of standard provisions such as, but not limited to UAP, OIG and further price reductions where permitted. G. Group Purchasing Organizations 1. The Trust recognizes purchases made through Group Purchasing Organizations as a best practice in hospital purchasing nationwide with associated efficiencies, savings and speed. 2. The Trust may participate in one or more Group Purchasing Organizations ("GPO"), which shall be selected competitively in accordance with this Regulation. 3. As a condition of the Trust's participation in a GPO, the GPO shall whenever possible solicit bids and proposals from certified Small Business Enterprises and local Miami -Dade vendors, and shall cooperate with the Trust in the facilitation of participation of those vendors at all tiers of Trust purchases under GPO contracts. 4. Subject to the provisions of the GPO contract, the Chief Procurement Officer may conduct negotiations with a supplier regarding terms and conditions, including the addition of UAP, OIG fees and further price reductions where permitted. VI. Procurement of Construction, Design and Engineering Services A. Jackson Health System Capital Expedite Program 1. Applicability, "Jackson Health System Capital Expedite Program," Section 2-8.2.14 of the Code of Miami -Dade County, as amended, shall apply to procurements competitively solicited by the Trust pursuant to this Section. B. Construction 1. The Chief Procurement Officer, in consultation with the Vice President or Senior Vice President responsible for construction services, shall have the discretion to select one of the following project delivery methods for construction projects: a. Design -bid -build; b. Construction Manager; c. Construction manager -at -risk; d. Design -build; e. Job order contract; f. Miscellaneous construction contract; g. Small purchases in accordance with this Regulation 2. The Chief Procurement Officer, in consultation with the Vice President or Senior Vice President responsible for construction services and the County Attorney's Office, shall develop specifications and procedures for the project delivery methods to be undertaken by the Trust. In addition, the Trust may procure the services through the use of the County's Miscellaneous Construction Contract, subject to applicable dollar thresholds for those programs. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 12 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation 3. Any construction project, excluding electrical work, not exceeding $250,000 may be made in accordance with the small purchase procedures of this Regulation. For electrical work, the small purchase threshold shall not exceed $75,000 adjusted by the percentage change in the Engineering News-Record's Building Cost Index from January 1, 2009 to January 1 of the year in which the project is scheduled to begin. 4. The Trust shall adhere to the requirements of Section 255.20 of Florida Statutes regarding public construction works. C. Design and Engineering Services 1. The Chief Procurement Officer, in consultation with the Vice President or Senior Vice President responsible for design and engineering services, shall have the discretion to select one of the following project delivery methods for design and engineering projects: a. Request for Qualifications; b. Design -Build: c. Equitable Distribution Pool; d. Small purchases in accordance with this Regulation 2. The Chief Procurement Officer, in consultation with the Vice President or Senior Vice President responsible for design and engineering services and the County Attorney's Office, shall develop specifications and procedures for the project delivery methods to be undertaken by the Trust. In additions, the Trust may procure the services through the use of the County's Equitable Distribution Pool, subject to applicable dollar thresholds for those programs. 3. The Trust shall adhere to the requirements of Section 287.055 of Florida Statutes (the "Consultants' Competitive Negotiation Act") in the procurement of all services covered by such act. D. Sales Tax Exemption Program for County Construction Contracts 1. Applicability. "Sales Tax Exemption Program," Section 2-10.7 of the Miami -Dade County Code, as amended, shall apply to construction contracts solicited and awarded by the Trust. The term "County" shall include the Public Health Trust. 2. Administration of Ordinance. In Sections (b) and (c) of Section 2-10.7, substitute: "Chief Procurement Officer" for "Mayor or County Mayor"; and "Board of Trustees" for "Board of County Commissioners." VII. Waiver of Formal Competition A. Non -Competitive Procurement 1. A contract may be awarded without competitive bids or proposals in accordance with this Section. A bid waiver is appropriate when the Chief Procurement Officer, after conducting a review of available sources, determines in writing, pursuant to a written request from a Senior Vice President or Vice President setting forth the justification for a bid waiver, that a waiver of competitive bids is in the best interest of the Trust. The Chief Procurement Officer, with the assistance of affected departments, shall conduct negotiations, as appropriate, as to price, delivery and terms. The Director, Supplier Diversity and Small Business Enterprise Program, or designee, shall advise the Chief Procurement Officer as to whether Small Business Enterprise Goods and/or Services goals shall be applied to any non-competitive procurement in excess of $100,000. Competitive bids may be waived when determined to be in the best interest of the Trust and include, but are not limited to the situations set forth below: a. There is only one source for the required supply, good, service or construction item; Revised: 05/23/2025 Supersedes: 12/20/2023 Page 13 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation b. A Physician or Clinical Professional requests a specific item or service without which the patient care cannot be rendered successfully. c. A supply or service has become of standard use throughout the Trust; or d. Non-competitive contracts awarded by Public Procurement Units 2. Determination. The Chief Procurement Officer or designee may reject any incomplete or insufficient justification. The Chief Procurement Officer shall make a written determination as to whether the procurement shall be made using sole source, bid waiver or proprietary specifications after conducting a review of available goods or services. The written determination shall be included in any award recommendation to the CEO and Board. 3. The Board. All non-competitive contracts of $250,000 or more shall be submitted to the Board for approval. B. Emergency Procurement 1. The CEO, or CEO's designee, Chief Procurement Officer, or any Senior Vice President or Vice President of the Trust may make or authorize others to make Emergency Procurements subject to the following provisions: a. The Emergency Procurement shall be limited to those goods, services or construction items necessary to meet the immediate emergency; b. Approval by the Trust's Executive CFO and COO shall be required for all non -excluded emergency requests under $500,000; c. Approval by the Trust's Executive CFO and CEO or CEO's designee shall be required for all emergency requests over $500,000; d. Whenever practicable, approval by the Chief Procurement Officer shall be obtained prior to the procurement; e. Emergency Procurements shall be made with such competition as is practicable under the circumstances; f. Whenever possible, prior to the initiation of an Emergency Procurement, the head of the using department shall submit to the Chief Procurement Officer a purchase request for the goods, services or construction needed along with a written determination as required by this Regulation. Should time preclude a written request and determination, the head of the using department shall make every reasonable effort to immediately advise the Procurement Management Department of the emergency by telephone, or e-mail; g. The Procurement Management Department shall be notified of the emergency in writing with the required emergency justification and requisition as soon as possible, but not more than seven (7) Business Days after the initial action; h. To the extent practicable, Finance shall certify the availability of budgeted funds prior to award. Where time or circumstances preclude advance approval, Finance shall be notified of the Emergency Procurement within seven (7) Business Days. 2. All Emergency Procurements of $250,000 or more shall be submitted to the Board for ratification as soon as possible following the procurement. 3. Notwithstanding any provision of this section to the contrary, Emergency Procurements initiated by the Executive Office under $100,000 shall remain excluded from this regulation pursuant to Section II(B)(2)(w). C. Architectural, Engineering and Other Services Covered by the Consultants' Competitive Negotiation Act 1. Contracts for the purchase of services covered under Section 287.055, which exceed the thresholds set forth in the Statute requiring competitive negotiation, shall be exempt from compliance under those requirements only where a valid pubic emergency is declared by the CEO, or CEO's designee, of the Trust. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 14 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation VIII. Process A. Purchase Requisitions 1. Except as otherwise authorized in this Regulation, all purchases excluding Release Orders to term contracts shall be made by submission of a requisition to the Procurement Management Department. Prior to submission, requisitions shall be approved asfollows: a. All requisitions shall be approved by the head of the department initiating the requisition. b. All requisitions of $25,000 or more shall be approved by the responsible Vice President. c. All requisitions of $100,000 or more shall be approved by the responsible Executive/Senior Vice President and/or Chief Operating Officer. d. All requisitions of $3,000,000 or more shall be approved by the responsible Executive Vice President. e. All funds required for the purchase of goods and services will be committed and allocated for a specific requisition. Allocated funds will be verified by Finance and once an award is made, the funds may be encumbered by the User Department for ordering the awarded products or services. B. Responsibility of Bidders and Offerors 1. Before award of a contract, the Trust must be satisfied that the prospective contractor is responsible. Factors to be considered in determining contractor responsibility include: a. Availability of the appropriate financial, material, equipment, facility and personnel resources and expertise, or the ability to obtain them, necessary to indicate its capability to meet all contractual requirements; b. A satisfactory record of performance with the Trust and Miami -Dade County; c. A satisfactory record of integrity; and d. Qualified legally to contract with the Trust. 2. The prospective contractor shall supply information requested by the Procurement Officer concerning responsibility within a reasonable time period as established by the Procurement Officer. If such contractor fails to supply the requested information in a timely manner, the Procurement Officer may consider such failure in the determination of responsibility and shall base the determination of responsibility upon any available information or may find the prospective contractor non -responsible if such failure is unreasonable. 3. If a bidder or offeror who otherwise would have been awarded a contract is found non - responsible, the Chief Procurement Officer shall issue a written determination of non - responsibility setting forth the basis of the finding which may include a contractor's failure or refusal to supply any requested information or documentation. C. Selection Committees 1. Selection committees shall be utilized for the evaluation of statements of qualifications, technical offers, and proposals in competitive procurement processes of the Trust. 2. The Chief Procurement Officer shall, in his or her discretion, appoint selection committees comprised of three, five or seven voting members. The chairperson of the selection committee shall be an additional non -voting member from the professional procurement staff of the Procurement Management Department. Any selection committee formed to evaluate a response to a Request for Proposals or Request for Qualifications for construction with a Small Business Enterprise -Construction selection factor goal shall include a voting representative from the Miami -Dade County Internal Services Department, Division of Small Business Development. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 15 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation 3. The Chief Procurement Officer may appoint alternate or substitute members to a selection committee as the Chief Procurement Officer deems necessary. The Chief Procurement Officer may also allow a selection committee to operate with a reduced number of voting members when appointed members are unavailable to serve and the appointment of alternate members would in his or her discretion compromise or unreasonably delay the procurement process. 4. The Procurement Management Department will provide appropriate instructions and training regarding the roles and responsibilities of selection committee members, including applicable laws, policies and regulations. 5. Performance of Selection Committees a. Prior to serving on the selection committee, each member shall execute a Conflict of Interest Certification Form. b. Selection committees may, through and with the consent of the Procurement Officer, solicit expert advice from other Trust staff, County Attorney's Office and outside experts in their deliberations. c. "Taping of Selection Committee and Negotiation Committee Proceedings Required," Section 2.8.1.1.1 of the Miami -Dade Code, as amended, shall apply to selection committee meetings. D. Pre -qualification 1. Prospective bidders or offerors may be pre -qualified for particular types of goods, services or construction. The method of submitting pre -qualification information shall be determined by the Chief Procurement Officer. Such pre -qualification, however, is subject to subsequent review and does not necessarily constitute a finding of responsibility for any particular contract award nor does it guarantee an amount to be awarded. E. Cancellation of Invitations to Bid or Requests for Proposals 1. An Invitation to Bid, a Request for Proposals, or other solicitation may be canceled, or any or all bids or proposals may be rejected in whole or in part as may be specified in the solicitation, when it is in the best interests of the Trust. 2. When bids or proposals are rejected, or a solicitation canceled after bids or proposals are received, the bids or proposals that have been opened shall be retained in the procurement file. If unopened, a photocopy of the outside of the envelope shall be retained in the procurement file, and the bid or proposal returned to the bidder or offeror. 3. Cancellation of any solicitation, and the rejection of all bids or proposals, at any time, shall not be subject to protest. F. Electronic Commerce 1. The Trust may, to the fullest extent permitted by law, conduct procurement transactions by electronic means or in electronic form including, but not limited to, the advertising and receipt of competitive sealed bids, competitive sealed proposals, competitive sealed qualifications, informal proposals, and informal quotations. 2. The Trust may award contracts for goods and non-professional services by reverse auction. During the bidding process, bidders' prices are revealed and bidders shall have the opportunity to modify their bid prices for the duration of the time period established by the solicitation. Award shall be made to the lowest responsive, responsible bidder. The Trust shall be entitled to rely on Electronic Signatures to the fullest extent permitted under law. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 16 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation G. Unauthorized Purchases 1. An unauthorized purchase is a purchase or commitment of funds by an employee that does not have the authority to do so, or a purchase or commitment of funds by an authorized employee but not in accordance with applicable law and this Regulation. 2. Unauthorized purchases shall be subject to the following: a. Payment for any unauthorized purchased may be deemed the personal responsibility of the employee that made the purchase or commitment; b. The employee may be subject to disciplinary action up to and including termination; and c. The department director and vice president having responsibility over the unauthorized purchase shall provide a complete written justification for the unauthorized purchase to the Executive VP CFO and to the Executive VP COO for unauthorized purchases to include disciplinary action taken, if appropriate, and the corrective action(s) taken to prevent recurrence. d. Purchase Orders or Contracts will not be provided to vendors as a result of an unauthorized purchase, payment for these offenses will be directly paid by the Accounts Payable Department after approval by the Executive VP CFO and Executive VP COO, as indicated in the paragraph above. 3. Unauthorized purchases in amounts exceeding staff's delegated authority may be terminated or, if lawful and in the best interest of the Trust, ratified by the Trust. IX. Legacy Systems The purchase of licenses, support, maintenance, upgrades and necessary expansions of Legacy Systems shall not be subject to the requirements of this Regulation relating to competitive processes. Any such purchase shall be subject to the reporting requirements of this Regulation. X. Bid Protests A. Purpose 1. Protest provisions enhance the accountability of the procurement process by highlighting and correcting mistakes and misconduct. The protest process must not, however, interfere with the prompt and efficient acquisition of goods and services needed by the Trust which delivers critical health care to the citizens of this community. 2. To balance these interests, it is the policy of the Trust to provide a mechanism for disappointed bidders or offerors to protest the procurement decisions of the Trust only in strict accordance with the protest provisions set forth in this Section. B. Process 1. A bid protest may be filed only by an interested party. An interested party shall be any bidder or offeror whose direct economic interest would be affected by the award of the contract or by failure to award the contract in accordance with the intent to award announced by the Trust. 2. Decisions to reject all bids or offers shall not be subject to bid protests. No protest shall be considered of any question, issue, disagreement arising from the published requirements, terms, conditions and processes. Bidders and offerors are invited to submit those objections set forth in the preceding sentence in advance of the deadline for submitting bids or proposals and otherwise in accordance with the published solicitation documents. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 17 of 37 Jackson Health System Policy No. 248 Jackson [IIL%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation 3. A protest must be filed with the Chief Procurement Officer, or designee, as outlined in the solicitation, within five (5) Business Days of the Trust's posting of a recommendation of award. The protest must: a. Identify the contract and the solicitation or contract number; b. Set forth a detailed statement of the legal and factual grounds of protest, including copies of relevant documents; c. Establish that the protester is an interested party making a timely bid protest of matters subject to protest; d. State the relief requested; and e. Be accompanied by the filing fee set forth in this Section. Each solicitation shall outline the manner in which a valid protest shall be filed. 4. Any protest that fails to comply with these requirements may be summarily rejected by the Chief Procurement Officer, except that a protest may be supplemented by the addition of relevant documents that may have been obtained by the protestor subsequent to the filing of the protest by public records requests. The Chief Procurement Officer, or designee, shall note the time and date of receipt of the protest and shall notify all participants in the competitive process of the filing of a protest. 5. For all contracts awarded under the delegated authority of the Chief Procurement Officer, the Chief Procurement Officer shall consider the protest raised prior to making a contract award. In the event the Chief Procurement Officer determines in his or her sole discretion that the conduct of a hearing is appropriate to the resolution of the issues raised in the protest, he or she shall establish a time and date for the hearing and notify all participants in the competitive process. The hearing shall be conducted informally, presided by the Chief Procurement Officer, and shall not adhere to formal requirements of evidence. Any evidence may be considered which is of the type that individuals rely on in the conduct of serious business affairs. The conduct of a hearing shall in no event delay the award of a contract. 6. For all contracts awarded by the Board, the Chief Procurement Officer shall transmit to the Board the protest, and the written recommendation of the Chief Procurement Officer and the Chief Executive Officer of the Trust addressing the issues raised in the protest. In the event that the Chief Procurement Officer or Chief Executive Officer of the Trust determine in his or her respective discretion that the conduct of a hearing is appropriate to the resolution of the issues raised in the protest, he or she shall establish a time and date for the hearing and notify all participants in the competitive process. The hearing shall be conducted informally and shall not adhere to the formal requirements of evidence. The conduct of a hearing shall in no event delay the award of a contract. The Board may, but shall not be required, to allow presentations by the protestorand other interested parties in connection with the award. Such presentations shall in any event be limited to the matters raised in the written protest and shall not exceed ten minutes per side. C. Fee Schedule As a condition of filing a protest in accordance with this Section, the following fees shall be paid: Estimated Contract Amount Filing Fee $10,000 - $100,000 $500 $100,000 - $250,000 $1,000 $250,000 - $1,000,000 $2,000 Over $1,000,000 $5,000 Revised: 05/23/2025 Supersedes: 12/20/2023 Page 18 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation XI. Reports Initiation of Transactions. All contracts, renewals, change orders, contract modifications, or other items requiring the approval of the Board pursuant to this Regulation shall be initiated and approved by the Chief Procurement Officer before presentation to the Board. CEO, or CEO's designee. All transactions to be submitted to the Board for consideration are subject to the review and approval of the CEO, or CEO's Designee. A. Purchasing Report 1 All items which require approval by the Board pursuant to this Regulation shall be presented to the Committee of the Whole as items in the "Purchasing Report" unless otherwise determined to be in the best interest of the Trust by the CEO, or designee. a. The Purchasing Report shall contain the following sections: i. Competitive Award [Threshold $5,000,000]: • Invitations to Bid • Requests for Proposals • Cooperative Purchases ii. Group Purchasing Organization [Threshold $5,000,000] iii. Waiver of Formal Competition [Threshold $250,000] • Non -Competitive • Emergency iv. Contract Renewals: • Competitively Solicited Contracts [Threshold — $5,000,000] • Non -Competitively Solicited Contracts [Threshold $250,000] v. Change Orders and Contract Modifications vi. Basic Affiliation Agreement Issues vii. Standardization Approval Requests viii. Delegated Authority. All contracts awarded under the authority delegated to the Chief Executive Officer and Chief Procurement Officer under this Regulation for the applicable period shall be reported. Small purchases under ten thousand dollars ($10,000) shall not be reported. b. Each agenda item on the Purchasing Report shall include: i. The requisition and/or solicitation number, as appropriate; ii. The requesting department and responsible Vice President; iii. Proposed awardee(s); iv. Proposed contract amount by fiscal period and total aggregate amount (for example,"$500,000 per year for three years; total contract amount $1,500,000") v. Short explanation justifying the purchase and stating the rationale for the source selection method. The award or renewal of a non-competitive contract shall require a written recommendation by the CEO, or CEO's designee, that the waiver of competitive bidding is in the best interests of the Trust. vi. Third party price analysis results for non -competitively solicited contracts, as appropriate; vii. Compliance with applicable Small Business Enterprise requirements; and viii. Identification of responsible Vice President concurring with recommendation for award or renewal of the contract. 2. The sections or content of the Purchasing Report may be revised as necessary upon request of the Committee of the Whole or by the CEO or designee. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 19 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation B. Other Procurement Reports. 1. Procurement maintains reports which may include, but shall not be limited to the following: a. Purchase Order Log, b. Contract performance evaluations c. Small Business Enterprise (SBE) activity review d. Registered vendor listing e. Savings tracking f. Contract award summary sheets, g. Procurement performance indicators h. Listing of monthly completed projects i. Monthly non-competitive contract awards under the Chief Procurement Officer's authority j. Monthly competitive contract awards under the Chief Procurement Officer's authority 2. The Chief Procurement Officer shall submit a monthly report to the Committee of the Whole listing all purchase orders and contracts in excess of the Small Purchase amounts, as specified in this Regulation, awarded or renewed during the prior calendar month which were not subject to approval by the Board. Each purchase order or contract listing shall include the vendor name, description, using department and responsible Vice President, contract number, contract date, value, term, and procurement method/basis for award. 3. The Chief Procurement Officer shall also submit a monthly report to the Committee of the Whole as follows: a. A listing of all awarded purchase orders and contracts for Legacy Systems, as specified in this Regulation C. Notices 1. Notice of Recommended Award. Excluding emergency procurements as defined in this Regulation, a notice of recommended award shall be posted for all contract awards, competitive or non-competitive, in excess of the Small Purchase amount as specified in this Regulation for a period of five (5) Business Days prior to either: a. Award by the Chief Procurement Officer; or b. Consideration by the Board or its designated committee(s). PART B. Contracts and Contract Administration XII. Contracts A. Contract Award 1 The Board shall award: a. All contracts of $5,000,000 or more; b. All contracts resulting from a Waiver of Formal Competition of $250,000 or more, which shall require a finding that the waiver of competitive bidding is in the best interests of the Trust, and a two-thirds affirmative vote of the members present for approval; and c. All contracts resulting from the Trust's participation in a Group Purchasing Organization of $5,000,000 or more, which shall require a finding that the utilization of a Group Purchasing Organization contract is in the best interests of the Trust, and a two-thirds affirmative vote of the members present for approval. 2. The Chief Procurement Officer may award: a. Any purchase order or contract less than $5,000,000; b. Any contract resulting from a Waiver of Formal Competition less than $250,000; and Revised: 05/23/2025 Supersedes: 12/20/2023 Page 20 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation c. All contracts resulting from the Trust's participation in a Group Purchasing Organization less than $5,000,000; and d. All contracts resulting from the Trust's accessing of Miami -Dade County awarded contracts. Written Contract 1. The material terms of a contract must be reduced to writing, and except in extraordinary circumstances, executed by the vendor, prior to award of the contract by either the Board or Chief Procurement Officer. In the event that extraordinary circumstances exist that prevent prior execution of the proposed contract by the vendor, a memorandum duly executed by the Chief Procurement Officer shall accompany the proposed contract, explaining the extraordinary circumstances preventing prior execution by the vendor and why it is in the best interest of the Trust to consider the proposed contract for award notwithstanding the absence of the vendor's executed contract. 2. If the Trust has issued a solicitation for the contract, the solicitation and the bid or proposal submitted in response shall constitute the material terms of the contract, subject to modification pursuant to this Regulation. 3. If the Trust is utilizing either a cooperative purchasing agreement or a Group Purchasing and Facilities Organization contract, the material terms of the contract are included in the master agreement with the sponsoring organization. 4. In lieu of a written contract, the Chief Procurement Officer may authorize the use of a purchase order for certain types of procurements, including but not limited to those utilizing small purchase orders. 5. Based on the amount, complexity or unusual circumstances, the Chief Procurement Officer shall determine the contracts that are referred to the County Attorney's Office for review and approval prior to award. C. Contract Renewal/Extension 1. Renewal of Competitively Solicited Contracts. a. The Board is the approving authority for the renewal of any contract awarded by competitive solicitation when: i. The total value of the contract is $5,000,000 or more and the initial Board approval did not authorize the Chief Procurement Officer to approve subsequent renewal option(s); or ii. The value of the renewal causes the total value of the contract to exceed $5,000,000. b. The Chief Procurement Officer may approve any renewal or extension of any Competitively Solicited contracts, provided the Board approved original contract. 2. Renewal of Non -Competitive Contracts. a. The approving authority for the renewal or extension of any non-competitive contracts is as follows: i. The Board when the total value of the contract, including the renewal, is $250,000 or more. ii. The Chief Procurement Officer, for validated sole source contracts only, when the Board approved the original contract. iii. The Chief Procurement Officer when the estimated total value of the contract, including the renewal, is less than $250,000. 3. Contract Extension a. In addition, the Chief Procurement Officer is authorized to award one extension or renewal per contract, which extension or renewal would otherwise be required to be approved by the Board, where necessary to continue a source of necessary goods or Revised: 05/23/2025 Supersedes: 12/20/2023 Page 21 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation services and new or replacement contracts are not available prior to the contract expiration date. b. Such extension or renewal shall be awarded prior to the expiration of the contract, not exceed one hundred eighty (180) calendar days beyond the last authorized term, and contain a prorated dollar authorization. D. Change Orders and Contract Modifications, including Renewals 1. Chief Procurement Officer. The Chief Procurement Officer may approve and execute change orders and contract modifications for goods and services, including professional services, and for the construction of public improvements within the scope of an existing award when: a. The original contract did not require approval of the Board and the aggregate total of change orders and/or contract modifications does not increase the total value of the contract to an amount which would have required approval by the Board of the original contract; b. For goods and services, including professional services, the aggregate total of change orders and/or contract modifications does not increase the total value of the contract as awarded by the Board by more than thirty percent (30%) or $4,000,000, whichever is less. c. For the construction of public improvements, the aggregate total of change orders and/or contract modifications does not increase the total value of the contract as awarded by the Board by more than thirty percent (30%) or $6,000,000, whichever is less. d. Term Contracts. When a term contract is awarded on the basis of estimated quantities or utilization, to the extent that the increase in the total estimated contract value is due exclusively to increased utilization, said increase is exempt from the limitations in Subsection 1(b) and 1(c) of this Section. Provided adequate funds are available, the Chief Procurement Officer or designee may execute any change orders or contract modifications necessitated by said increased utilization, including authorizing other Trust departments to participate in said contract. E. Contract Termination 1. The Chief Procurement Officer may terminate a contract for convenience or default in accordance with the terms of the contract. 2. The Chief Procurement Officer shall issue a written determination stating the reasons for the termination. F. Contract Execution 1. Board Approval. The CEO or designee shall execute, on behalf of the Trust, all contracts, contract renewals, change orders, contract modifications and other documents which this Regulation requires the Board to approve. 2. Chief Procurement Officer Approval. The Chief Procurement Officer or designee may execute, on behalf of the Trust, all contracts, contract modifications and other documents which this Regulation authorizes the Chief Procurement Officer to approve. 3. Using Department Employees. Employees in using departments may execute Release Orders only to the extent that authority has been delegated by the Chief Procurement Officer. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 22 of 37 Jackson Health System Policy No. 248 Jackson [IIL%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation XIII. Specifications A. Preparing Specifications 1. The Chief Procurement Officer shall prepare, issue, revise, maintain and monitor the use of specifications for goods, services and construction required by the Trust. B. Value Analysis Team 1. The Chief Procurement Officer shall establish a Value Analysis Team (VAT) that supports the purchasing process with an objective evaluation of goods and equipment — existing, new or upgraded — based upon quality patient outcomes, safety and cost effectiveness rather than personal preference. 2. Value Analysis Program. The Chief Procurement Officer shall establish, with the approval of the CEO, or CEO's designee, a system -wide Trust policy describing the Value Analysis Program, led by the VAT, including program structure and operational features. XIV.Risk Management A. Bid Security 1. Bid security shall be required in the amount and in the form which the Chief Procurement Officer determines in his or her discretion to be necessary to protect the investments of the Trust. 2. A vendor's failure to provide bid security in the form set forth in the solicitation shall only be waived when allowed by law. Performance and Payment Bonds 1. Contract performance and payment bonds shall be required on all Trust construction contracts in accordance with Section 255.05, Florida Statutes, Bond of Contractor Constructing Public Buildings; Form; Action by claimants, as amended. Nothing herein shall prevent the requirement of such bonds on construction contracts under the statutory threshold amounts when circumstances warrant. C. Indemnification 1. All Trust solicitation and contract documents shall include indemnification provisions approved by Risk Management, subject to review by the County Attorney for legal sufficiency. 2. Standard Indemnification Clauses. The Chief Procurement Officer, in consultation with Risk Management and the County Attorney's Office, may establish standard indemnification clauses to be used in various types of solicitation documents, contracts and purchase orders. D. Insurance Requirements 1. The Chief Procurement Officer with the concurrence of Risk Management and the County Attorney's Office may establish insurance requirements to be included in contract specifications. XV. Authority to Debar or Suspend A. Authority to Debar or Suspend 1. After reasonable notice to an actual or prospective contractor, and after reasonable opportunity for said person to be heard, the Chief Procurement Officer, after consultation Revised: 05/23/2025 Supersedes: 12/20/2023 Page 23 of 37 Jackson Health System Policy No. 248 Jackson [IIL%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation with the County Attorney's Office, shall have authority to debar or suspend an actual or prospective contractor for cause from consideration for award of contracts. The serious nature of debarment requires that this sanction be imposed only when it is in the public interest for the Trust's protection, and not for purposes of punishment. The debarment shall be for a period of not more than five (5) years. 2. The Chief Procurement Officer, after consultation with the County Attorney's Office, shall also have the authority to suspend an actual or prospective contractor from consideration for award of Trust contracts if there is probable cause for debarment, pending the debarment determination. The suspension shall be for a period of ninety (90) calendar days or until a final determination with respect to debarment is made, whichever is sooner. The Chief Procurement Officer may extend the suspension for up to three additional thirty (30) calendar day periods. B. Causes for Debarment or Suspension 1. Causes for debarment or suspension include the following within the three (3) years prior to the decision to suspend or debar: 2. Conviction for commission of a criminal offense as an incident to obtaining or attempting to obtain a public or private contract or subcontract, or incident to the performance of such contract or subcontract; 3. Conviction under state or federal statutes of embezzlement, theft, forgery, falsification or destruction of records, receiving stolen property, or any other offense indicating a lack of business integrity or business honesty; 4. Conviction under state or federal antitrust statutes arising out of submission of bids or proposals; a. Violation of contract provisions, as set forth below, of a character which the Chief Procurement Officer determines to be so serious as to justify debarment action: i. Failure without good cause to perform in accordance with the specifications, terms and conditions or within the time limit provided in any contract with the Trust or Miami -Dade County; or ii. A recent record of failure to perform or of unsatisfactory performance in accordance with the terms of one or more contracts, provided that the failure to perform or unsatisfactory performance caused by acts beyond the control of the contractor shall not be considered to be a basis for debarment; 5. For violation of the ethical standards set forth in Florida Statutes, Miami -Dade County Ordinance or Section XVII. (Ethics) of this Regulation; or 6. Any other cause the Chief Procurement Officer determines to be so serious and compelling as to affect responsibility as a Trust contractor, including debarment by another governmental entity. C. Suspension 1. Upon written determination by the Chief Procurement Officer that probable cause exists for debarment, a contractor or prospective contractor shall be suspended. A notice of the suspension, including a copy of such determination, shall be sent to the suspended contractor or prospective contractor by certified mail, return receipt requested, or by any other method that provides evidence of receipt. Such notice shall state that: a. the suspension is for the period of time it takes to complete an investigation into possible debarment, including any appeals of a debarment decision, but not for a period in excess of one hundred eighty (180) calendar days; and b. bids or proposals will not be solicited from the suspended person, and, if they are received, they will not be considered during the period of suspension. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 24 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation D. Request for Hearing 1. A contractor or prospective contractor that has been notified of a suspension and/or a proposed debarment action may request in writing that a hearing be held. 2. Such request must be received by the Chief Procurement Officer within ten (10) calendar days of receipt of notice of the proposed action. If no request is received within the time period allowed, a final decision may be made as set forth in Paragraph F (Decision) of this Subsection and the right to a hearing and all appeals are deemed waived. E. Hearing 1. If a hearing is timely requested by a contractor, the Chief Procurement Officer shall send a written notice of the time and place of the hearing by certified mail, return receipt requested, or by any other method the provides evidence of receipt, and shall state the nature and purpose of the proceedings. 2. The Chief Procurement Officer shall act as the hearing officer. Alternatively, the Chief Procurement Officer, at his/her own discretion, may appoint an independent hearing officer whose qualifications shall include the designation of Certified Public Procurement Officer (CPPO) or equivalent designation. The hearing officer shall be compensated on a market basis plus reimbursement of travel and other direct expenses. 3. Hearings shall be as informal as may be reasonable and appropriate under the circumstances and in accordance with applicable due process requirements. The hearing officer shall submit written findings and recommendation to the Chief Procurement Officer. Decision 1. The Chief Procurement Officer shall issue a final written decision stating the reasons for the action taken. If a hearing was conducted by a hearing officer, the Chief Procurement Officer shall also consider the findings and recommendation of the hearing officer in arriving at a decision. 2. A copy of the decision shall be provided promptly to the affected person(s), with a copy to the Department of Small Business Development of Miami -Dade County. A decision of an issue of fact shall be final and conclusive unless arbitrary, capricious, fraudulent or clearly erroneous. G. Appeal 1. Any person receiving an adverse decision may appeal in writing to the Board within ten (10) calendar days from receipt of the decision. Debarment by Other Public Entities 1. Any contractor debarred by the following public entities shall also be debarred by the Trust without additional review: a. In accordance with Subsection 10-38(g)(3) of the Miami -Dade County Code, "A contractor's debarment shall be effective throughout county government." b. The United States Government or any agency thereof; or c. The State of Florida or any agency thereof. I. Maintenance of List of Debarred and Suspended Persons 1. The Procurement Management Department shall maintain a list of debarred and suspended persons. 2. All Trust departments are barred from making any purchases from any debarred or suspended person. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 25 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation XVI.Socio-Economic Programs A. Small Business Enterprise Goods and Services Programs 1 Applicability. "Small Business Enterprise Services Program", Section 2-8.1.1.1.1, and "Small Business Enterprise Goods Program", Section 2-8.1.1.1.2, ("SBE-GS") of the Miami -Dade County Code, as amended, and Implementing Order No. 3-41 promulgated thereunder, shall apply to procurements solicited and contracts awarded by the Trust. The Small Business Enterprise ("SBE") Program shall apply to all Trust contracts for the purchase of goods and services, including Professional Services other than architectural, engineering, architectural landscape and land surveying professional services governed by Section 287.055, Florida Statutes, as amended. The SBE-GS Program shall not apply to construction; leases or rental of real property; licenses and permits; concessions; franchise agreements; and contracts for attorney and/or legal services; and contracts for investment banking services. 2. Administration of Ordinance. In Subsections (3)(c), (3)(d) and (3)(j) of Section 2.8.1.1.1.1 and 2-8-1.1.1.2, substitute: a. "Chief Procurement Officer" for "County Mayor"; and b. "Board of Trustees" for "County Commission." c. The Chief Procurement Officer shall delegate authority to a designee ("Director, Supplier Diversity and Small Business Enterprise Program") to apply SBE contract measures. d. The Director, Supplier Diversity and Small Business Enterprise Program, will make recommendations to the Chief Procurement Officer regarding SBE contract measures. The Chief Procurement Officer may accept, reject, modify or otherwise alter the SBE recommendation prior to issuance of the solicitation. e. The Director, Supplier Diversity and Small Business Enterprise Program, shall submit a quarterly report to the Chief Procurement Officer of all SBE measures applied. 3. Management and Technical Assistance Program. In accordance with Section II (Management and Technical Assistance Program) of Miami -Dade County Implementing Order No. 3-41, Miami -Dade County's Internal Services Department, Division of Small Business Development will provide management and technical assistance and community outreach to certified SBEs performing as vendors and providing goods and/or services to the Trust. 4. Bonding and Financial Assistance Program. In accordance with Section III (Bonding and Financial Assistance Program) of Miami -Dade County Implementing Order No. 3-41, Miami -Dade County's Internal Services Department, Division of Small Business Development will administer the Bonding and Financial Assistance Program. 5. Certification. In accordance with Section IV (Certification) of Miami -Dade County Implementing Order No. 3-41, Miami -Dade County's Internal Services Department, Division of Small Business Development is responsible for certifying, decertifying and re- certifying applicants for the SBE Program. The Trust shall refer all SBE applicants to the Division of Small Business Development. 6. Joint Ventures. In accordance with Section V (Joint Ventures Bidding on Contracts with SBE Measures) of Miami -Dade County Implementing Order No. 3-41, joint ventures bidding on contracts with SBE measures must be approved by Miami -Dade County's Internal Services Department, Division of Small Business Development prior to submission of the bid or proposal. 7. Application of Contract Measures. a. Set -Asides. When there are at least three available SBEs capable of performing the contract, the Chief Procurement Officer may determine it is in the best interest of the Trust to waive full and open competition and set -aside the contract for competition Revised: 05/23/2025 Supersedes: 12/20/2023 Page 26 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation between certified SBEs. The requirement for public notice of the solicitation is waived; however, the provisions of the Cone of Silence pursuant to Subsection 2-11.1(t) of the Miami -Dade County Code shall be imposed upon issuance of the solicitation. b. Subcontractor Goals. Subcontractor goals may be applied to a contract based on estimates made prior to bid advertisement of the quality, quantity and type of subcontracting opportunities provided by the contract and the availability of at least three (3) SBEs capable of performing such work. c. Bid Preference. For contracts less than $100,000, the provisions of Sections 2- 8.1.1.1.1 (3)(b) and 2-8.1.1.1.2(3)(b) shall apply, as amended. A ten percent (10%) bid preference shall apply to contracts of $100,000.01 to $1,000,000 and a five percent (5%) bid preference shall apply to contracts greater than $1,000,000 that are not set - aside. The preference shall be used for bid evaluation and shall not affect the contract price. Preferences shall be applied to the bid price of bidders that are SBEs and Joint Ventures with at least one SBE. d. Selection Factor. Any offeror that is an SBE, or a joint venture with an SBE, shall be accorded a selection factor equal to ten percent (10%) of the evaluation points scored on the technical (non -price) portion of such offeror's proposal in response to a Request for Proposals. 8. Contracts $100,000 or less a. Within the fiscal year, the Trust shall expend with SBE firms one hundred (100) percent of the total value of contracts one hundred thousand dollars ($100,000.00) or less for goods and services. The departmental requirement shall be complied with unless the Small Business Program Manager determines that there is either not enough capacity, or the contract(s) can only be handled by a non-SBE firm. In the event the Small Business Program Manager determines that there are less than three (3) available SBE's capable of performing the contract, or a portion thereof, the Small Business Program Manager shall advise the responsible Procurement Officer to proceed to issue the contract solicitation without an SBE "set -aside" or "subcontractor goal" but with the appropriate SBE "bid preference" or "selection factor". b. The Chief Procurement Officer shall determine, in consultation with the using department and the Small Business Program Manager when feasible, appropriate contract measures, if any, on non-competitive and emergency procurements made pursuant to this Regulation. c. Certified Small Business Enterprises. Miami -Dade County's Internal Services Department, Division of Small Business Development maintains a list of certified Small Business Enterprises, searchable by NIGP and NAICS Commodity Code, on its website: https://mdcsbd.gob2g.com/frontend/searchcertifieddirectory.asp 9. Small Business Enterprise Program Management a. The Procurement Management Department may periodically review user department compliance with the Small Business Enterprise Program. The Chief Procurement Officer may initiate appropriate remedial action regarding any Trust department who is determined non -compliant. b. The Procurement Management Department shall submit quarterly reports to Miami - Dade County's Internal Services Department, Division of Small Business Development regarding Small Business Enterprise utilization. 10. Bidder or Offeror's Responsibility Where an SBE Subcontractor Goal is Applied a. Solicitation documents to which an SBE subcontractor goal is applied shall require bidders or offerors to submit a signed Schedule of Intent Affidavit (SOI) or a signed Certification of Assurance (COA) form at the time of bid or proposal submission identifying all SBEs to be utilized to meet the SBE subcontractor goal. Each SOI or Revised: 05/23/2025 Supersedes: 12/20/2023 Page 27 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation COA shall be in writing and shall specify the type of goods or services the SBE is to provide and the price the SBE is to be paid therefore. 11. Pre -Award Compliance Review a. Defects. The Procurement Officer shall review bids or proposals for compliance with the SBE requirements and notify the bidder or offeror in writing of any defects. The bidder or offeror shall have two (2) business days from the date of receipt of the written notice to cure correctable defects. b. Correctable defects may include, but are not limited to, the SBE percentage not properly indicated, the prime or subcontractor's failure to sign the subcontract agreement, or calculation errors. Failure to cure the defect within the time allotted shall render the bid or proposal non -responsive. c. Determination. The Procurement Officer shall make a written determination as to whether each bid or proposal is compliant or non -compliant and, if non -compliant, the reasons therefor. 12. Post Award Compliance and Monitoring a. In accordance with Section XI (Post Award Compliance and Monitoring) of Miami - Dade County Implementing Order No. 3-41, the Small Business Development Division and the Trust's Small Business Enterprise Program, as applicable, shall monitor and enforce the compliance of suppliers with SBE Program requirements. 13. Contractual Sanctions a. In accordance with Section XII (Contractual Sanctions) of Miami -Dade County Implementing Order No. 3-41, bid and contract documents shall provide that, notwithstanding any other penalties or sanctions provided by law, a bidder's or Small certified firm's violation of or failure to comply with the Small Business Enterprise Program Ordinances and this Section of the Trust Procurement Regulation may result in the imposition of one or more of the following sanctions: i. The suspension of any payment or part thereof until such time as the issues concerning SBE compliance are resolved; ii. Work stoppage; and iii. Termination, suspension or cancellation of the contract in whole or in part. b. For Section XII (Contractual Sanctions) of Miami -Dade County Implementing Order No. 3-41: i. Substitute "Trust" for "County;" and ii. Substitute "Chief Procurement Officer" for "County Mayor." 14. Administrative Penalties Administrative penalties may be imposed in accordance with Section XIII (Administrative Penalties) of Miami -Dade County Implementing Order No. 3- 41 or this Regulation. B. Small Business Enterprise Construction Services Program 1. "Small Business Enterprise Construction Services Program," Section 10-33.02 of the Miami -Dade County Code, as amended, and Implementing Order No. 3-22 promulgated thereunder, shall apply to procurements solicited and contracts awarded by the Trust for the purchase of construction services. 2. Miami -Dade County's Internal Services Department, Division of Small Business Development, shall ensure appropriate construction measures are applied pursuant to this Section. C. Small Business Enterprise Architecture and Engineering Program 1. "Small Business Enterprise Architecture and Engineering Program", Section 2-10.4.01 of the Miami -Dade County Code, as amended, and Implementing Order No. 3-32 Revised: 05/23/2025 Supersedes: 12/20/2023 Page 28 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation promulgated thereunder, shall apply to procurements solicited and contracts awarded by the Trust for applicable professional services. 2. Miami -Dade County's Internal Services Department, Division of Small Business Development, shall ensure appropriate construction measures are applied pursuant to this Section. D. Preference to Local Business and Local Certified Veteran Business Enterprises in Trust Contracts 1. Preference to Local Business a. Applicability "Procedure to Provide Preference to Local Business in County Contracts," Section 2- 8.5 of the Code of Miami -Dade County, as amended, shall apply to procurements competitively solicited by the Trust. Except for construction contracts whose estimated cost is five million dollars ($5,000,000) or less which have been set aside solely for Community Small Business Enterprises in accordance with Subsection 2-8.5(7) of the Code of Miami -Dade County, as amended, preference to local business in Trust contracts shall apply to all competitive solicitations for goods, services and construction. b. Procedure Except where federal or state law, or any other funding source, mandates to the contrary, preference shall be given to local businesses in accordance with Section 2- 8.5 of the Code of Miami -Dade County. 2. Preference to Local Certified Veteran Business Enterprises a. Applicability "Procedure to Provide Preference to Local Certified Veteran Business Enterprises in County Contracts," Section 2-8.5.1 of the Code of Miami -Dade County, as amended, shall apply to procurements competitively solicited by the Trust. Except for construction contracts whose estimated cost is five million dollars ($5,000,000) or less which have been set aside solely for Community Small Business Enterprises in accordance with Subsection 2-8.5(7) of the Code of Miami -Dade County, as amended, preference to local certified Veteran Business Enterprises shall apply to all competitive solicitations for goods, services and construction. b. Procedure Except where federal, state or county law or any other funding source mandates to the contrary, preference shall be given to Local Certified Veteran Business Enterprises in accordance with Section 2-8.5.1 of the Code of Miami -Dade County. E. Fair Subcontracting Practices 1. "Fair Subcontracting Practices," Section 2-8.8 of the Miami -Dade County Code, as amended, shall apply to procurements solicited and contracts awarded by the Trust, subject to the following: a. The term "County" shall include the "Trust"; and b. Substitute "Chief Procurement Officer" for "County Mayor." F. Responsible Wages and Benefits for County Construction Contracts "County Construction Contracts," Section 2-11.16 of the Miami -Dade County Code, as amended, and Implementing Order No. 3-24 promulgated thereunder, shall apply to construction contracts solicited and awarded by the Trust. The term "County" shall include the Public Health Trust. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 29 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation G. Living Wage Ordinance 1. Applicability. "The Living Wage Ordinance for County Service Contracts and County Employees," Section 2-8.9 of the Miami -Dade County Code, as amended, and Administrative Order No. 3-30 promulgated thereunder, shall apply to Trust contracts with a total contract value of over $100,000 per year for the following services: a. Food preparation and/or distribution; b. Security services; c. Routine maintenance services such as custodial, cleaning, refuse removal, repair, refinishing and recycling; d. Clerical or other non -supervisory office work, whether temporary or permanent; e. Transportation and parking services; f. Printing and reproduction services; and g. Landscaping, lawn and/or agricultural services. 2. Administrative Order. The following exceptions are made to Administrative Order No. 3- 30: a. Purpose: The Division of Strategic Sourcing is responsible for ensuring that the living wage requirements are included in all applicable Trust contracts. i. Section IX.G.2. — Substitute "Chief Procurement Officer" for "County Mayor." ii. Section XII.C. — "Chief Procurement Officer" may terminate the service contract upon a determination by the County Mayor. Drug -Free Workplace 1. "Drug -Free Workplace Requirements for Contractors and Entities Transacting Business with Miami -Dade County," Section 2-8.1.2 of the Miami -Dade County Code, as amended, is hereby adopted by the Trust, subject to the following: a. The term "County" shall include the "Trust"; and b. Substitute "Chief Procurement Officer" for "County Mayor." I. Nondiscrimination "Contracting, Procurement Bonding and Financial Services Activities," Chapter 11A, Article VII of the Miami -Dade Code, as amended, and Administrative Order No. 3-23 promulgated thereunder, shall apply to all Trust contracts. J. Community Workforce Program for County Construction Contracts 1. "Community Workforce Program," Section 2-1701 of the Miami -Dade County Code, as amended, and Implementing Order No. 3-37 promulgated thereunder, shall apply to construction contracts solicited and awarded by the Trust. 2. The term "County" shall include the Public Health Trust. K. Residents First Training and Employment Program for County Construction Contracts 1. "Residents First Training and Employment Program," Section 2-11.17 of the Miami -Dade County Code, as amended, and Implementing Order No. 3-61 promulgated thereunder, shall apply to construction contracts solicited and awarded by the Trust. 2. The term "County" shall include the Public Health Trust. XVII. Ethics A. Regulation 1. This Section is intended as complementary and in addition to applicable provisions of the following: Revised: 05/23/2025 Supersedes: 12/20/2023 Page 30 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation a. Code of Ethics for Public Officers and Employees - Section 112, Part III, Florida Statutes, as amended. b. "Conflict of Interest and Code of Ethics Ordinance," Section 2-11.1, Code of Miami - Dade County, as amended. 2. Remedies set forth herein are in addition to any sanctions or penalties that may be imposed by the provisions cited above. B. Definitions 1. Definitions provided in the Miami Dade County's Conflict of Interest and Code of Ethics Ordinance shall apply and be made applicable to the Trust. 2. The term "employee" references in the Conflict of Interest and Code of Ethics Ordinance shall be applicable to Trust personnel who serve in comparable capacities to the County personnel it refers to. C. General Standards of Ethical Conduct 1. General Ethical Standards for Employees. Any attempt to realize personal gain through Trust employment by conduct inconsistent with the proper discharge of the employee's duties is a breach of a public trust. 2. General Ethical Standards for Non -Employees. To achieve the purpose of this Section, it is essential that those doing business with the Trust observe the ethical standards prescribed herein. Any effort to influence any Trust employee to breach the standards of ethical conduct set forth Florida Statutes, Miami -Dade County Code or Public Health Trust Policies is a breach of ethical standards. D. Conflict of Interest 1. Conflict of Interest. It shall be a breach of ethical standards for any employee to participate directly or indirectly in a procurement when the employee knows that: a. The employee or a relative of the employee has a financial interest pertaining to the procurement; b. A business or organization in which the employee or relative has a financial interest pertaining to the procurement; or c. Any other person, business, or organization with whom the employee or relative is negotiating or has an arrangement concerning prospective employment is involved in the procurement. 2. Discovery of Actual or Potential Conflict of Interest, Disqualification, and Waiver. Upon discovery of an actual or potential conflict of interest, an employee shall promptly file a written statement of disqualification with the Chief Procurement Officer and shall withdraw from further participation in the transaction involved. The employee may request or seek a conflict of interest opinion from the Miami -Dade County Commission on Ethics and Public Trust in accordance with Subsection 2-11.1(c)(4) of the Miami -Dade County Code. The Board, upon a two-thirds affirmative vote, may grant a waiver in accordance with the same Subsection. 3. Employee Conflict of Interest Certification Form. The following Trust employees shall complete, sign and submit the Conflict of Interest Certification Form, issued by the Chief Procurement Officer as Form G: a. All selection committee members, prior to serving; b. Any physician or other clinical professional who requests waiver of formal competitive bidding for a contract or purchase order due to a clinical preference; or c. Any Trust employee who requests the award of a contract or purchase order pursuant to Subsection VII.A. (Non -Competitive Procurement). Revised: 05/23/2025 Supersedes: 12/20/2023 Page 31 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation 4. Contractor Conflict of Interest Certification Form. The supplier/contractor shall complete, sign and submit a Conflict of Interest Certification Form as follows: a. Prior to the award of a non-competitive procurement (contract or purchase order), issued by the Chief Procurement Officer as Form H; and b. Prior to any meeting in which either the "Pharmacy or Therapeutics" (P and T) Committee or the "Value Analysis Team" of the Trust considers a particular product for approval, issued by the Chief Procurement Officer as Form I. 5. Standing Committees. Any person serving as a member of the Trust's "Pharmacy and Therapeutics" (P and T) Committee or "Value Analysis Team," or any subcommittee or "team" thereof, shall complete, sign and submit the Conflict of Interest Certification Form, issued by the Chief Procurement Officer as Form J, prior to serving on said committee and not later than January 31, or such other date determined by the Chief Procurement Officer, of each subsequent calendar year. E. Kickbacks It shall be a breach of ethical standards for any payment, gratuity, or offer of employment to be made by or on behalf of a subcontractor under a contract to the prime contractor, higher tier subcontractor or any person associated therewith, or relative of such contractors or subcontractors, as an inducement for the award of a subcontract or order. Bids from Related Parties 1. Notwithstanding any other provision of the Procurement Regulation, where two (2) or more related parties each submit a bid or proposal for any contract, such bids or proposals shall be presumed to be collusive. 2. The foregoing presumption may be rebutted by presentation of evidence as to the extent of the ownership, control and management of such related parties in the preparation and submittal of such bids or proposals. 3. Related parties shall mean bidders or offerors or the principals thereof which have a direct or indirect ownership interest in another bidder or offeror for the same contract or in which a parent company or the principals thereof of one (1) bidder or offeror have a direct or indirect ownership interest in another bidder or offeror for the same contract. 4. Bids or proposals found to be collusive shall be rejected. G. Contractor Fraud, Misrepresentation or Material Misstatement 1. "Penalties for Contractors Attempting to Meet Contractual Obligations with the County through Fraud, Misrepresentation or Material Misstatement," Section 2-8.4.1 of the Miami - Dade County Code, as amended, is incorporated herein by reference, subject to the following: a. Substitute: i. "Chief Procurement Officer" for "County Mayor"; and ii. "Trust" for "County." b. The procedure for debarment shall be in accordance with Section XV.A (Authority to Debar or Suspend) of this Regulation. H. Use of Confidential Information 1. In particular, all Trust employees should be aware of the following provision in Subsection 112.313(8), Florida Statutes: a. "A current or former public officer, employee of agency, or local government attorney many not disclosure or use information not available to members of the general public and gained by reason of his or her official position, except for information relating Revised: 05/23/2025 Supersedes: 12/20/2023 Page 32 of 37 Jackson Health System Policy No. 248 Jackson [ IE%['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation exclusively to governmental practices, for his or her personal gain or benefit or for personal gain or benefit to any other person or business entity." 2. This provision is also applicable to former Trust employees. I. Lobbying 1. Definition. "Lobbyist" shall be as defined in Subsection 2-11.1(s)(1)(b) of the Miami -Dade County Code, as amended. 2. Registration. All lobbyists must comply with Subsection 2-11.1(s) of the Miami -Dade County Code, including registering with the Clerk of the Board of County Commissioners and filing annual expenditure reports. 3. Contingent Fees. In accordance with Subsection 2-11.1(s)(7) of the Miami -Dade County Code, contingent fees are prohibited. 4. Presentations and Negotiations. Any representative of a prospective contractor participating in oral presentations or negotiations shall be listed on an affidavit submitted with the bid, proposal, or statement of qualifications in accordance with the "Conflict of Interest and Code of Ethics Ordinance," Section 2-11.1(s) of the Miami -Dade County Code, as amended. J. Cone of Silence 1. The Cone of Silence, Subsection 2-11.1(t) of the Miami -Dade County Code, shall apply to procurements solicited and awarded by the Trust, subject to the following: a. The term "Trustee" is substituted for "Commissioner;" b. The term "Board" is substituted for "Board of County Commissioners;" c. The term "Chief Executive Officer of the Trust" is substituted for "County Mayor;" d. The term "Assistant to the PHT Board" is substituted for "Clerk of the Board;" e. The Chief Procurement Officer shall provide public notice of the Cone of Silence in accordance with Subsection 2-11.1(t)1.(b)(i) of the Miami -Dade County Code; and f. The formal solicitation and award thresholds in the Trust's Procurement Regulation and this Regulation shall take precedence. In particular, the Cone of Silence does not apply to purchases made pursuant to Section V.B (Small Purchases). K. Procurement Integrity 1. Supplier Relationships. Trust employees directly or indirectly involved in the procurement process must strive to maintain and practice the highest possible standards of business ethics, professional courtesy, and competence in their dealings with suppliers, including according fair and equitable treatment to all suppliers and their representatives. 2. Restrictive Specifications. Consistent with the provisions of this Regulation, Trust employees may not knowingly prepare or use an unnecessarily restrictive specification or statement of work that would effectively exclude acceptable products or services of one supplier or increase the prospects of award to another supplier. 3. Personal Use. Trust employees may not make purchases through Trust contracts, pricing agreements or purchase orders for the personal use of themselves or any other person. L. Recovery of Value Transferred or Received in Breach of Ethical Standards 1. General Provisions. The Trust may seek recovery from both the employee and non - employee of anything transferred or received in breach of ethical standards. 2. Recovery of Kickbacks by the Trust. Upon a showing that a subcontractor made kickback to a prime contractor or a higher tier subcontractor in connection with the award of a subcontract or order thereunder, it shall be conclusively presumed that the amount thereof was included in the price of the subcontract or order and ultimately borne by the Trust. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 33 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation The Trust may seek recovery from both the recipient and the subcontractor making such kickbacks. XVIII. Acceptance of Gifts from Jackson Memorial Foundation A. Purpose Pursuant to Subsection 25A-4(h), Miami -Dade County Code, as amended, "Acceptance of Gifts," the "Trust shall have the authority to accept gifts of money, services or personal property," including "in -kind" donations. In addition, "the Trust may accept from a not -for profit organization whose primary purpose is to support the activities of the Trust gifts of construction projects." The purpose for this Section is to establish rules, conditions and terms for the acceptance of said gifts from Jackson Memorial Foundation ("Foundation"). B. Definition "In -Kind" Donation means a donation in which the donor itself, or through an entity controlled by the donor, provides the personal property or performs the services, including construction and related professional services. C. Applicable Statutes, Ordinances and Policies 1. Florida Statutes: a. Chapter 119, Public Records, as amended; b. Section 255.05, Bond of Contractor Constructing Public Buildings, as amended; c. Section 255.20, Local Bids and Contracts for Public Construction Works, as amended; d. Section 255.071, Payment of Subcontractors, Sub -Subcontractors, Material -men, and Suppliers on Construction Contracts for Public Projects; as amended; and e. Section 255.0525, Advertising for Competitive Bids or Proposals, as amended. 2. Miami -Dade County Code: a. Subsection 25A-4(h), Acceptance of Gifts, as amended; b. Section 10-34, Listing of Subcontractors Required, as amended; c. Section 10-35, Release of Claim by Subcontractors Required, as amended; and d. Section 10-36, Utility Connection Fees Not Billable, as amended. 3. Foundation Policies: Construction Procurement Regulation. Said Regulation or any amendments thereto are subject to review and approval by the Board of the Public Health Trust prior to becoming effective. D. Role of Trust Officials 1. Chief Procurement Officer. With the exception of gifts of money, the Chief Procurement Officer or designee shall conduct due diligence of all gifts of goods, services and construction initiated by the Foundation. Said due diligence shall include, but not be limited to: a. Risk management, including indemnification; b. Performance and payment bonds for construction projects; c. Consistency with Trust standards, including where applicable, specifications or scope of work; d. Life cycle costs, including, but not limited to, expected life, warranty, training, energy costs, operational goods, maintenance, downtime and salvage value; e. Compliance with minimal contractual requirements set forth by the Trust; f. Responsibility of proposed awardee, including debarment. 2. Risk Management Revised: 05/23/2025 Supersedes: 12/20/2023 Page 34 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation a. Review and approve indemnification provisions in Foundation solicitation and contract documents; and b. Review and approve insurance requirements in Foundation solicitation and contract documents. 3. County Attorney's Office a. Review and approve indemnification provisions in Foundation solicitation and contract documents; and b. Review and approve insurance requirements in Foundation solicitation and contract documents. 4. Senior Vice President or designee over Facilities, Design and Construction a. With concurrence of the Foundation's President/CEO and/or COO, determine the appropriate project delivery method for construction projects; i. Review and approve all drawings and specifications for public improvements conducted on Trust property: (1) For competitively awarded contracts, the review and approval shall occur prior to the issuance of the solicitation. (2) For construction projects procured by competitive sealed proposals, a second review and approval shall occur prior to contract execution. (3) For in -kind construction or non-competitive construction contracts, the review and approval shall occur prior to acceptance of the gift by the Trust and commencement of any onsite work. ii. Review estimate of proposed construction project cost for reasonableness prior to solicitation; b. Periodic inspection during the course of the Work to guard against defects and deficiencies and to determine in general if the Work is being performed in a manner indicating that the Work, when fully completed, will be in accordance with the contract documents; c. Inspection upon both substantial and final completion of construction projects to determine conformance with the contract documents; and d. Assist the Chief Procurement Officer in developing contract conditions for the Foundation to utilize on public improvements to Trust property. Said conditions shall include, but not be limited to, working conditions, permits, quality of workmanship and materials, warranty, unknown site conditions, use of site, cutting and patching, cleaning up, protection of persons and property, time, and correction of work. E. Acceptance 1. Board of County Commissioners. Pursuant to Subsection 25A-4(h), Miami -Dade County Code, "subject to the prior approval of the Commission, the Trust may accept gifts of real property, the title of which shall be in Miami -Dade County." 2. Board. Except as otherwise provided herein, the Board shall approve all gifts of money, services, personal property or construction of $1,000,000 or more. Gifts of services, personal property or construction shall be subject to the written recommendation of the CEO or CEO's designee and the reviews and approvals required in this Section XVIII (Acceptance of Gifts). 3. CEO. The CEO or designee may approve all gifts of money, services, personal property or construction less than $1,000,000, subject to the reviews and approvals required in this Section XVIII (Acceptance of Gifts). Revised: 05/23/2025 Supersedes: 12/20/2023 Page 35 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation F. Goods and Services 1. General. Except as otherwise provided herein, the procurement of goods or services for or in support of the Trust shall be made by or under the supervision of the Chief Procurement Officer. 2. Small Purchases. The Chief Procurement Officer may grant limited authority to the Foundation to make small purchases of goods and services in an amount not to exceed $10,000, subject to the reviews and approvals required in this Section. Procurement requirements shall not be artificially divided so as to constitute a small purchase under this Subsection. G. Construction 1. Professional Services. The Foundation may procure professional services, including architectural, landscape architectural, engineering, land surveying and interior design services, related to construction projects pursuant to Foundation's Construction Procurement Regulations. 2. Contract for Construction. The Foundation may procure the contract for construction pursuant to the Foundation's Construction Procurement Policy. The contract for construction is subject to the provisions of this Section. 3. Limitation. Pursuant to Subsection 25A-4(h), Miami -Dade County Code, any construction project, including all related professional and non-professional services, personal property, change orders and contract modifications, shall not exceed $5,000,000 and must be fully funded by the Foundation. 4. Goods and Services. All goods and services related to a construction including, but not limited to fixtures and furnishing, shall be procured by the Foundation pursuant to the Construction Procurement Policy, subject to the reviews and approvals required in this Section. 5. Job Order Contract. The Chief Procurement Officer may authorize the Foundation to utilize Trust job order contracts, subject to the reviews and approvals required in this Section. 6. Public Records Laws. All solicitations and contracts made by the Foundation pursuant to this Regulation shall require contractors to abide by Chapter 119, Florida Statutes, Public Records Law, to the same manner and degree that would if their contract were with the Trust rather than the Foundation. H. In -Kind Donations Pursuant to Subsection 25A-4(h), Miami -Dade County Code, in -kind donations, including services, personal property, and construction, are exempt from all competitive bidding requirements and other programs otherwise mandated by the Code of Miami -Dade County for Public Health Trust contracts, provided additional costs, if any, are funded by a not -for -profit organization whose primary purpose is to support the activities of the Trust. Said in -kind donations are also exempt from the competitive bidding requirements of this Regulation. However, in -kind donations are subject to the provisions of this Section. XIX.Hospital-Based Physician Services A. Definition Hospital -Based Physician Services means the non -employment, contractual engagement of one or more physicians to provide on -call emergency, medical director, radiology, anesthesiology, pathology, hospitalist, or other physician services at medical facilities operated by the Public Health Trust. It does not include physicians covered in either the University of Miami or Florida International University Annual Operating Agreements. Revised: 05/23/2025 Supersedes: 12/20/2023 Page 36 of 37 Jackson Health System Policy No. 248 Jackson [ IIL%I['['li rY'S9'EN MiraCles Matig day, <ih TRUST Section: 100 — 200 Administration Subject: Procurement Regulation B. Exemptions Except as otherwise provided herein, procurement of hospital -based physician services are exempt from this Regulation. C. Source Selection 1. Hospital -based physician services may be procured with such competition as is practicable under the circumstances. Upon review by the County Attorney's Office for legal sufficiency, the Chief Procurement Officer may initiate a special procurement modifying the requirements of the Request for Proposals process as appropriate for the particular situation, including, but not limited to: a. Waiver of public notice; b. Limiting notice to selected persons; c. Exempting meeting from 286.011, Florida Statutes, pursuant to Section 395.3035, Florida Statutes; and d. Exempting disclosure of documents, offers and contracts from Chapter 119, Florida Statutes, pursuant to Section 395.3035, Florida Statutes. D. Contract Award 1. Chief Procurement Officer. The Chief Procurement Officer may award hospital -based physician services contracts less than $1,000,000. 2. CEO. The Board delegates authority to the CEO, or CEO's designee to award hospital - based physician services contracts of $1,000,000 or more. 3. Report. Hospital -based physician services contract awards may be reported to the Board. XX. References Public Health Trust Board of Trustees - Approved PHT Board Resolution 04/2025-021 Responsible Party: Senior Vice President Strategic Sourcing Reviewing Committee(s): The Public Health Trust Board of Trustees Committee of the Whole and Fiscal Committee JHS Policy and Procedure Committee Authorization: CEO, Jackson Health System Revised: 05/23/2025 Supersedes: 12/20/2023 Page 37 of 37 AGENDA ITEM SUMMARY FORM File ID: #18628 Date: 12/08/2025 Commission Meeting Date: 01/08/2026 Requesting Department: Department of Fire - Rescue Sponsored By: District Impacted: All Type: Resolution Subject: Execute - Interlocal Agrmnt - Medical Direction Services - Fire Rescue Purpose of Item: The nature of this item is to authorize a resolution of the Miami City Commission with attachments, authorizing the City Manager to execute an Interlocal Agreement ("Agreement"), in a form acceptable to the City Attorney, with the Public Health Trust of Miami -Dade County, Florida, an agency and instrumentality of Miami -Dade County ("Health Trust"), for the provision of medical direction services, for the Department of Fire -Rescue ("Fire") for a period of five (5) years with one (1) option to renew for one additional two (2) year period, allocating funds from the Fire Account Code 00001.181000.531000.0000.00000, subject to the availability of funds and budgetary approval, at the time of need on a contractual basis pursuant to Section 18-112; further authorizing the City Manager to negotiate and execute any and all documents, including any amendments, renewals, extensions, and in accordance to the Agreement, subject to allocations, appropriations and budgetary approval having been previously made, compliance with applicable provisions of the Code of the City of Miami, Florida, as amended, ("City Code"), including, the City of Miami's Procurement Ordinance, Anti - deficiency Act, and Financial Integrity Principles, all as set forth in Chapter 18 of the City Code, in a form acceptable to the City Attorney, and in compliance with all applicable laws, rules, and regulations, as may be deemed necessary for said purpose. Background of Item: The Department of Fire -Rescue ("Fire") Emergency Medical Services ("EMS") has a need for medical direction services to supervise and provide medical oversight for the medical performance of the City's Paramedics and Emergency Medical Technicians ("EMT's"), as required by Florida State Statute 401.265 as amended. The Health Trust has been providing these comprehensive services to the City of Miami for over forty (40) years, and has continued to increase the level of service and training for the EMTs. In an effort to continue this trend, it is recommended that the City enter into an Interlocal Agreement with the Health Trust pursuant to Section 18-112 of the City Code for an estimated annual amount of $340,717.00. Budget Impact Analysis Item is an Expenditure Item is NOT Related to Revenue Item is NOT funded by Bonds Total Fiscal Impact: General Account No: 00001.181000.531000.0000.00000 Department of Fire -Rescue Department of Fire -Rescue Department of Fire -Rescue Department of Procurement Department of Fire -Rescue Department of Fire -Rescue Office of Management and Budget Office of Management and Budget City Manager's Office Legislative Division Office of the City Attorney Office of the City Attorney City Commission Office of the City Clerk Reviewed B Robert C Hardy Johnny Duran Adrian Plasencia Annie Perez Niorge Aragon Robert Hevia Pedro Lacret Leon P Michel Arthur Noriega V Valentin J Alvarez Ileana Jerez George K. Wysong III Maricarmen Lopez City Clerk's Office Fire Review Fire Budget Review Fire Review Procurement Review Fire Review Fire Chief Review Budget Analyst Review Budget Review City Manager Review Legislative Division Review ACA Review Approved Form and Correctness Meeting Rendered Completed 12/08/2025 9:55 AM Completed 12/09/2025 6:25 AM Completed 12/09/2025 9:32 AM Completed 12/10/2025 12:44 PM Completed 12/10/2025 1:55 PM Completed 12/10/2025 2:04 PM Completed 12/10/2025 4:56 PM Completed 12/23/2025 11:39 AM Completed 12/23/2025 12:20 PM Completed 12/23/2025 4:17 PM Completed 12/26/2025 1:06 PM Completed 12/28/2025 11:26 PM Completed 01/08/2026 9:00 AM Pending City of Miami Legislation Resolution Enactment Number: R-26-0002 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 18628 Final Action Date:1/8/2026 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), AUTHORIZING THE CITY MANAGER TO EXECUTE AN INTERLOCAL AGREEMENT FOR THE PROVISION OF MEDICAL DIRECTION SERVICES FOR THE DEPARTMENT OF FIRE -RESCUE ("FIRE"), WITH THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY, FLORIDA, AN AGENCY AND INSTRUMENTALITY OF MIAMI-DADE COUNTY ("HEALTH TRUST") FOR A PERIOD OF FIVE (5) YEARS WITH ONE (1) OPTION TO RENEW FOR ONE ADDITIONAL TWO (2) YEAR PERIOD; ALLOCATING FUNDS FROM FIRE ACCOUNT CODE 00001.181000.531000.0000.00000, SUBJECT TO THE AVAILABILITY OF FUNDS AND BUDGETARY APPROVAL AT THE TIME OF NEED; FURTHER AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE ANY AND ALL DOCUMENTS, INCLUDING ANY AMENDMENTS, RENEWALS, AND EXTENSIONS SUBJECT TO ALL ALLOCATIONS, APPROPRIATIONS, PRIOR BUDGETARY APPROVALS, COMPLIANCE WITH APPLICABLE PROVISIONS OF THE CODE OF THE CITY OF MIAMI, FLORIDA, AS AMENDED ("CITY CODE"), INCLUDING, THE CITY OF MIAMI'S PROCUREMENT ORDINANCE, ANTI -DEFICIENCY ACT, AND FINANCIAL INTEGRITY PRINCIPLES, ALL AS SET FORTH IN CHAPTER 18 OF THE CITY CODE, ALL IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, AND IN COMPLIANCE WITH ALL APPLICABLE LAWS, RULES, AND REGULATIONS, AS MAY BE DEEMED NECESSARY FOR SAID PURPOSE. WHEREAS, the Department of Fire -Rescue has a need for the provision of medical direction services to supervise and provide medical oversight for the medical performance of the City's Paramedics and Emergency Medical Technicians ("EMT's"), as required by Florida State Statute 401.265 as amended; and WHEREAS, in accordance with Section 18-112 of the Code of the City of Miami, Florida, as amended ("City Code"), it is recommended that the City enter into an Interlocal Agreement with the Health Trust, in a form acceptable to the City Attorney; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as if fully set forth in this Section. Section 2. The City Manager is authorized1 to execute an Interlocal Agreement in a form acceptable to the City Attorney. 1 The herein authorization is further subject to compliance with all legal requirements that may be imposed, including but not limited to those prescribed by applicable City Charter and City Code provisions. Section 3. Funds to be allocated from Fire Account Fund Code 00001.181000.531000.0000.00000, subject to the availability of funds and budgetary approval at the time of need. Section 4. The City Manager is further authorized' to negotiate and execute any and all documents, including any amendments, renewals, and extensions, subject to all allocations, appropriations, and budgetary approvals having been previously made, compliance with applicable provisions of the Code of the City of Miami, Florida, as amended ("City Code"), including, the City of Miami's Procurement Ordinance, Anti -Deficiency Act, and Financial Integrity Principles, all as set forth in Chapter 18 of the City Code, all in a form acceptable to the City Attorney, and in compliance with all applicable laws, rules, and regulations, as may be deemed necessary for said purpose. Section 5. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.2 APPROVED AS TO FORM AND CORRECTNESS: 2 This Resolution shall become effective as specified herein unless vetoed by the Mayor within ten (10) days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission or upon the effective date stated herein, whichever is later. CERTIFICATE OF SELF-INSURANCE COVERAGE PHT Operating Year: 10/1/25— 9/30/26 PRODUCER/INSURED The Public Health Trust of Miami -Dade County d/b/a Jackson Health System Risk Management Department River Landing Offices 1611 N.W. 12th Avenue Miami, Florida 33136 This Certificate is issued as a matter of information only to authorized viewers for their internal use only and confers no rights upon any viewer of this Certificate. The Certificate does not amend, extend or alter the coverage described below. This Certificate may only be copied, printed and distributed by an authorized viewer for its internal use. Any other use, duplication or distribution of the Certificate without the written consent of The Public Health Trust of Miami -Dade County is prohibited. ENTITIES AFFORDING COVERAGE To Request COSI Contact: Jeanette Alonso Jeannette.Alonso@jhsmiami.org PARTICIPATION COMPANY THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY 100 COVERAGES THIS IS TO CERTIFY THAT THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY (PHT) IS A GOVERNMENTAL ENTITY THAT HAS A SELF -FUNDED RETENTION FOR LIABILITIES DESCRIBED BELOW, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY WRITTEN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN. THIS SELF -FUNDED PROGRAM IS SUBJECT TO ALL PROVISIONS OF THE BYLAWS AND STANDING ORDERS OF THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY, WHICH DOES NOT PERMIT ANY ASSUMPTION OF LIABILITY WHICH DOES NOT RESULT FROM THE NEGLIGENT ACTS OR OMISSIONS OF ITS OFFICERS, AGENTS OR EMPLOYEES. THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY BENEFITS FROM THE WAIVER OF SOVERIGN IMMUNITY AS SET -FORTH IN FLORIDA STATUE SECTION 768.28. AS SUCH, ITS LIABILITY IN TORT SHALL NOT EXCEED THE SUM OF $200,000.00 PER CLAIM OR $300,000.00 IN AGGREGATE. THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY ALSO UTILIZES A SELF-INSURANCE TRUST TO COVERALL GENERAL LIABILITY, PROPERTY, AND AUTO EXPOSURES FOR THE FIRST $1 MILLION IN EXPENSES. BEYOND THAT THERE ARE SEVERAL EXCESS COMMERICAL COVERAGES EMPLOYED. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY & PROFESSIONAL LIABILITY Self -Insured October 1, 2025 September 30, 2026 GENERAL AGGREGATE $ 300,000.00 x COMMERCIAL GENERAL LIABILITY & PROFESSIONAL LIABILITY PRODUCTS-COMP/OP AGG $ 200,000.00 CLAIMS MADE X OCCURRENCE PERSONAL &ADV INJURY $ 200,000.00 X SIR Limit $1,000,000.00 CONTRACTUAL LIABILITY $ 200,000.00 EACH OCCURRENCE $ 200,000.00 A AUTOMOBILE LIABILITY Self -Insured October 1, 2025 September 30, 2026 COMBINED SINGLE LIMIT $ 300,000.00 X ANY AUTO HIRED AUTOS BODILYINJURY(PER PERSON) $ 200,000.00 ALL OWNED AUTOS NON -OWNED AUTOS BODILY INJURY (PER ACCIDENT) $ 300,000.00 SCHEDULED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ 200,000.00 A PROPERTY Self -Insured October 1, 2025 September30, 2026 EACH OCCURRENCE $ 200,000.00 X FIRE& EXTENDED PERILS AGGREGATE $ 300,000.00 A WORKERS' COMPENSATION AND EMPLOYERS LIABILITY Self -Insured October 1, 2025 Se tember 30, 2026 p X PER FL STATUTE 440 EACH ACCIDENT $ As required by Florida Law DISEASE- POLICY LIMIT $ As required by Florida Law DISEASE - EACH EMPLOYEE $ As required by Florida Law DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS City of Miami as additional insured on a primary and non-contributory basis in regard to General Liability. CERTIFICATE HOLDER CANCELLATION City of Miami Department of Procurement 444 SW 2nd Avenue, 6FL Miami, FL 33130 SHOULD THE PHT ELECT TO DISCONTINUE SELF -INSURING ITS LIABILITIES, THE PHT WILL UPDATE PROOF OF INSURANCE. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. By. �i���-) John Tawwater, Vice President, Chief Risk & Patient Safety Officer, Jackson Health System De Vito, Daniel From: Sent: To: Cc: Subject: Good morning Danny, The COI is adequate. Thanks, Frank Gomez, PIAM, CPII Property & Casualty Manager City of Miami Risk Management 14 N.E. 1st Avenue 2nd Floor Miami, Florida 33132 (305) 416-174o Office (305) 416-176o Fax fg0MeZ@MiaMigov.com Gomez Jr., Francisco (Frank) Thursday, January 29, 2026 7:16 AM De Vito, Daniel; Quevedo, Terry Aviles, Yesenia; Falcon, Eduardo RE: PROCUREMENT INSURANCE REVIEW FOR PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY DBA JACKSON HEALTH SYSTEM k//1/ o* co <Z7 Pl• (1/ (P/ N• 4q- QQ "Serving, Enhancing, and Transforming our Community" From: De Vito, Daniel <DaDeVito@miamigov.com> Sent: Wednesday, January 28, 2026 3:48 PM To: Gomez Jr., Francisco (Frank) <FGomez@miamigov.com>; Quevedo, Terry <TQuevedo@miamigov.com> Cc: Aviles, Yesenia <YAviles@miamigov.com>; Falcon, Eduardo <efalcon@miamigov.com> 1 Subject: RE: PROCUREMENT INSURANCE REVIEW FOR PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY DBAJACKSON HEALTH SYSTEM Good afternoon Frank, Please see updated COI from vendor attached. Thank you! Daniel De Vito Procurement Contracting Officer City of Miami Department of Procurement 444 SW 2nd Avenue, 6th Floor Miami, FL 33130 Office (305) 416-1916 — Fax (305) 400-5075 Email: dadevitoRmiamigov.com Helpful Links: For vendor registration click Here k/1/ Forcurrent solicitations please Visit our Solicitation Page Current contracts can be viewed by Visiting our Contract Database For solicitations in the Cone of Silence please visit our Cone of Si Webpage From: Gomez Jr., Francisco (Frank) <FGomez@miamigov.com> Sent: Wednesday, January 28, 2026 11:00 AM To: De Vito, Daniel <DaDeVito@miamigov.com>; Quevedo, Te Terry <TQee @miamigov.com> Cc: Aviles, Yesenia <YAviles@miamigov.com> ,' Subject: RE: PROCUREMENT INSURANCE REVIEW FCR IBLIC HEAITH TRUST OF MIAMI-DADE COUNTY DBAJACKSON HEALTH SYSTEM •‘`"t• 4,14q4c Hello Danny, Please amend to reflect the City as certificate holder. Thanks, Frank Gomez, PIAM, CPII Property & Casualty Manager City of Miami Risk Management 14 N.E. 1st Avenue 2nd Floor Miami, Florida 33132 (305) 416-174o Office (305) 416-1760 Fax fg0MeZ@MiaMigov.com 2 "Serving, Enhancing, and Transforming our Community" From: De Vito, Daniel <DaDeVito@miamigov.com> Sent: Wednesday, January 28, 2026 10:58 AM To: Gomez Jr., Francisco (Frank) <FGomez@miamigov.com>; Quevedo, Terry <TQuevedo@miamigov.com> Cc: Aviles, Yesenia <YAviles@miamigov.com> Subject: PROCUREMENT INSURANCE REVIEW FOR PUBLIC HEALTH TRUST OF MIA I DE COUNTY DBA JACKSON HEALTH SYSTEM � Good morning team, O Please review the insurance attached at your earliest convenience and advise if adequate according to insurance requirements contained therein. Thank you! Il' Daniel De Vito Procurement Contracting Officer (- (JI A City of Miami Department of Procu �/ c 444 SW 2nd Avenue, 6th Floor Miami, FL 33130 Office: (305) 416-1922 - Fax 5) 400-5075 Email: dadevito@miamigov.com Helpful Links: For vendor registration click Here For current solicitations please Visit our Solicitation Page Current contracts can be viewed by Visiting our Contract Database For solicitations in the Cone of Silence please visit our Cone of Silence Webpage 3 Olivera, Rosemary From: Gandarilla, Aimee Sent: Friday, February 13, 2026 2:20 PM To: Hannon, Todd Cc: Olivera, Rosemary; Brown, Sadie; Fossler, Thomas; Johnson, Antiwonesha; Ewan, Nicole Subject: Interlocal Agreement Medical Direction Svc (matter 25-1038) Attachments: Interlocal Agreement Medical Direction Svc - Public Health Trust (matter 25-1038).pdf Good afternoon Todd, Please find attached the fully executed copy of an agreement from DocuSign that will be considered an original agreement for your records. Antiwonesha: Please close Matter 25-1038. Thank you, Aimee Grav�thvL U,a Procurement Assistant City of Miami Procurement Department 444 SW 2nd Avenue, 6th floor, Miami, FL 33130 P (305) 416-1906 F (305) 400-5073 E agandarilla@miamigov.com "Serving, Enhancing, and Transforming our Community" i